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General NPI Number Information
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NPI Number | 1457266355
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Entity Type | Individual
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Provider Name | KATIE DAWN BLAZER MSW
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 64 WHITE RIDGE RD
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City | POINT PLEASANT
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State | WV
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Zip | 25550-3878
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Country | US
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Telephone | 304-675-2230
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Fax | 304-675-2234
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Provider Business Mailing Address
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Address Line | 304 MILL CREEK RD
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City | MOUNT ALTO
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State | WV
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Zip | 25264-9663
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Country | US
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Telephone | 304-812-5426
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Fax | 304-812-5427
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | WV
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