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General NPI Number Information
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NPI Number | 1376492462
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Entity Type | Organization
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Legal Business Name | CHARLES BLOMQUIST PC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 3 ELM ST
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City | STOCKBRIDGE
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State | MA
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Zip | 01262-7721
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Country | US
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Telephone | 413-248-7822
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1014
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City | STOCKBRIDGE
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State | MA
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Zip | 01262-1014
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES BLOMQUIST
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Credential | MD
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Telephone | 805-816-9232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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