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General NPI Number Information
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NPI Number | 1699729525
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Entity Type | Individual
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Provider Name | DEBRA LYNN HASTINGS LCP, LCAC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 3420 W. 9TH ST, N.
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City | WICHITA
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State | KS
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Zip | 67203-4305
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Country | US
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Telephone | 316-285-8866
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Fax | 316-943-7195
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Provider Business Mailing Address
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Address Line | 3420 W. 9TH ST, N.
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City | WICHITA
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State | KS
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Zip | 67203-4305
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Country | US
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Telephone | 316-285-8866
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Fax | 620-577-4956
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0678
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 907
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License Number State | KS
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