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General NPI Number Information
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NPI Number | 1548274277
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Entity Type | Individual
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Provider Name | KATHLEEN AMY HASTINGS NP PSYCHIATRY
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2963 MAIN ST VA WNY HEALTHCARE SYSTEM AT BUFFALO
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City | BUFFALO
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State | NY
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Zip | 14214-1003
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Country | US
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Telephone | 716-834-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 2963 MAIN ST VA WNY HEALTHCARE SYSTEM AT BUFFALO
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City | BUFFALO
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State | NY
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Zip | 14214-1003
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Country | US
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Telephone | 716-834-9200
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 400645
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License Number State | NY
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