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General NPI Number Information
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NPI Number | 1073896064
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Entity Type | Organization
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Legal Business Name | APOLLO GROUP, LLC
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 6751 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-2522
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Country | US
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Telephone | 800-565-9804
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Fax |
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Provider Business Mailing Address
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Address Line | 5219 10TH ST
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-5023
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Country | US
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Telephone | 800-565-9804
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Fax | 800-565-9804
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. FAITH KNIGHT
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Credential |
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Telephone | 800-565-9804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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