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General NPI Number Information
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NPI Number | 1073958724
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Entity Type | Individual
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Provider Name | CHRISTOPHER EVERETT BLUNDEN MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 4501 CAMERON VALLEY PKWY STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28211-4382
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Country | US
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Telephone | 704-512-3636
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Fax | 704-364-1387
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Provider Business Mailing Address
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Address Line | 4501 CAMERON VALLEY PKWY STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28211-4382
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Country | US
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Telephone | 704-512-3636
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Fax | 704-364-1387
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 191556
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 311379
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 128028
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 2025-00959
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License Number State | NC
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