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General NPI Number Information
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NPI Number | 1154283042
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Entity Type | Individual
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Provider Name | BLAISE E RUDMANN OTR
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Gender | Male
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Dates
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Enumeration Date | 11/29/2025
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 11900 FAIRHILL RD
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City | CLEVELAND
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State | OH
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Zip | 44120-1062
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Country | US
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Telephone | 216-983-8030
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Fax |
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Provider Business Mailing Address
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Address Line | 17159 PARK DR
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-4638
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Country | US
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Telephone | 440-318-4765
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT013557
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License Number State | OH
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