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General NPI Number Information
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NPI Number | 1861799868
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Entity Type | Organization
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Legal Business Name | KARA BLATTMAN THERAPY SERVICES,P.C.
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 2302 CAMPBELL RD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-3205
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Country | US
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Telephone | 505-459-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 2302 CAMPBELL RD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-3205
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Country | US
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Telephone | 505-459-3898
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KARA BLATTMAN
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Credential | OTR-L
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Telephone | 505-459-3898
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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 | 1819
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License Number State | NM
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