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General NPI Number Information
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NPI Number | 1396350039
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Entity Type | Individual
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Provider Name | LORNA CASEY BLAKNEY APRN-FNP BC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 717 HIGHWAY 71 W STE 500
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City | BASTROP
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State | TX
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Zip | 78602-4148
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Country | US
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Telephone | 737-220-8890
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Fax | 833-773-2045
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Provider Business Mailing Address
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Address Line | 3560 COUNTY ROAD 114
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City | GIDDINGS
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State | TX
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Zip | 78942-6493
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Country | US
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Telephone | 817-964-1250
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP144883
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP144883
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License Number State | TX
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