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General NPI Number Information
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NPI Number | 1447344692
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Entity Type | Individual
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Provider Name | LAURA ANN HASTINGS-WOOD MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 1000 BLYTHE BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28203
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Country | US
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Telephone | 240-566-1639
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 CAMDEN RD STE 107-259
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City | CHARLOTTE
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State | NC
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Zip | 28203-4690
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Country | US
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Telephone | 240-566-1639
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Fax | 770-701-6718
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | G86027
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License Number State | CA
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