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General NPI Number Information
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NPI Number | 1902539893
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Entity Type | Individual
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Provider Name | CHELSEA BLAIR STIVERS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 18318 STANDWICK DR
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City | LOUISVILLE
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State | KY
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Zip | 40245-6292
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Country | US
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Telephone | 815-953-1232
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 S HURSTBOURNE PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40220-1645
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Country | US
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Telephone | 815-953-1232
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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 | 291600
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License Number State | KY
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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 | OT61325608
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License Number State | WA
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