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General NPI Number Information
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NPI Number | 1780331074
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Entity Type | Individual
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Provider Name | KAREN LYNNE BLAIR OT/L
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Gender | Female
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 4654 LEWIS DR
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City | HAMBURG
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State | NY
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Zip | 14075-5402
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Country | US
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Telephone | 716-341-8401
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Fax |
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Provider Business Mailing Address
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Address Line | 4654 LEWIS DR
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City | HAMBURG
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State | NY
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Zip | 14075-5402
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Country | US
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Telephone | 716-341-8401
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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 | 7099
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 22639
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 013765
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License Number State | NY
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