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General NPI Number Information
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NPI Number | 1750055232
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Entity Type | Individual
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Provider Name | BLAIR GINN BIENASZ LOTR
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Gender | Female
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 5406 FAIRWAY RD
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City | FAIRWAY
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State | KS
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Zip | 66205-2639
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Country | US
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Telephone | 225-933-1428
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Fax |
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Provider Business Mailing Address
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Address Line | 132 W GREENS DR
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City | BATON ROUGE
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State | LA
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Zip | 70810-8934
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Country | US
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Telephone | 225-933-1428
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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 | 17-03890
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License Number State | KS
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