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General NPI Number Information
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NPI Number | 1538039367
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Entity Type | Individual
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Provider Name | KELLIE BIGGS PTA
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1395 S PINELLAS AVE
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3790
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Country | US
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Telephone | 727-942-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 14449 PIMBERTON DR
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City | HUDSON
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State | FL
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Zip | 34667-8018
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Country | US
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Telephone | 727-403-7764
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Fax | 727-403-7764
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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 | PTA32651
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License Number State | FL
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