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General NPI Number Information
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NPI Number | 1174479224
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Entity Type | Individual
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Provider Name | HAZEL JOY APPLE
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 3501 BAYSHORE BLVD
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City | TAMPA
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State | FL
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Zip | 33629-8933
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Country | US
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Telephone | 813-837-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 27528 WATER ASH DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8751
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA30408
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License Number State | FL
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