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General NPI Number Information
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NPI Number | 1407065071
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Entity Type | Individual
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Provider Name | JEANNE MARGARET HASTINGS MS, CTRS
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 9040 ASHEVILLE HWY
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City | KNOXVILLE
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State | TN
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Zip | 37924-4500
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Country | US
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Telephone | 865-654-9207
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Fax | 865-933-6323
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Provider Business Mailing Address
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Address Line | 5104 PEARL VALLEY RD
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City | SEVIERVILLE
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State | TN
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Zip | 37876-6827
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Country | US
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Telephone | 865-774-9334
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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