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General NPI Number Information
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NPI Number | 1932075744
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Entity Type | Individual
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Provider Name | MR. GARRET GORDON BLUNT
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Gender | Male
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 18000 WEST NINE MILE ROAD SUITE 750
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-607-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 931 FRONT ROAD NORTH
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City | AMHERSTBURG
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State | ONTARIO
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Zip | N9V2V6
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Country | CA
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2025069442
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License Number State | MI
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