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General NPI Number Information
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NPI Number | 1477912335
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Entity Type | Individual
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Provider Name | MISTY HASTINGS CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 3871 HARLEM RD # 202
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City | BUFFALO
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State | NY
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Zip | 14215-1946
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Country | US
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Telephone | 716-836-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 RANSOM RD
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City | LANCASTER
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State | NY
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Zip | 14086-9743
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Country | US
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Telephone | 813-434-6684
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN9287219
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 712115-01
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License Number State | NY
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