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General NPI Number Information
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NPI Number | 1073336673
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Entity Type | Individual
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Provider Name | WILLIAM LEE HATAWAY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 351 N ORLANDO AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-2911
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Country | US
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Telephone | 407-303-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 454 RINEHART RD STE 1001
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City | LAKE MARY
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State | FL
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Zip | 32746-5251
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Country | US
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Telephone | 407-206-4590
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Fax | 407-206-4591
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT41646
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License Number State | FL
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