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General NPI Number Information
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NPI Number | 1235920281
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Entity Type | Individual
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Provider Name | SOPHIA BLOUNT NP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 5306 NC HIGHWAY 55 STE 105
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City | DURHAM
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State | NC
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Zip | 27713-7812
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Country | US
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Telephone | 877-279-5960
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Fax | 919-390-0018
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Provider Business Mailing Address
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Address Line | 5306 NC HIGHWAY 55 STE 105
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City | DURHAM
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State | NC
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Zip | 27713-7812
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Country | US
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Telephone | 877-279-5960
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Fax | 919-390-0018
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 5022320
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License Number State | NC
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