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General NPI Number Information
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NPI Number | 1710964028
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Entity Type | Individual
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Provider Name | CHRISTOPHER ANDREW BLOUNT DDS
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 285 HIGH ST
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City | GREENFIELD
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State | MA
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Zip | 01301-2608
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Country | US
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Telephone | 413-774-2961
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Fax | 413-773-3076
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Provider Business Mailing Address
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Address Line | 285 HIGH ST
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City | GREENFIELD
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State | MA
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Zip | 01301-2608
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Country | US
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Telephone | 413-774-2961
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Fax | 413-773-3076
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 1855672
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 1855672
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 04127
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0160066233
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 04127
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License Number State | NH
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