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General NPI Number Information
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NPI Number | 1306966700
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Entity Type | Organization
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Legal Business Name | HASTINGS GYNECOLOGY & OBSTETRICS, P.C.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 1005 W GREEN ST SUITE 201
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City | HASTINGS
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State | MI
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Zip | 49058-1712
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Country | US
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Telephone | 269-945-2162
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Fax | 269-945-0220
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Provider Business Mailing Address
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Address Line | 1005 W GREEN ST SUITE 201
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City | HASTINGS
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State | MI
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Zip | 49058-1712
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Country | US
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Telephone | 269-945-2162
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Fax | 269-945-0220
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Authorized Official
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Title or Position | MD
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Name | JEFFREY G DINGES
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Credential | MD
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Telephone | 269-945-2162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | JD054854
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License Number State | MI
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