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General NPI Number Information
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NPI Number | 1265245385
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Entity Type | Individual
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Provider Name | CHLOE JOHNSON HARRIS
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5336 SUNSET BLVD STE A
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City | LEXINGTON
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State | SC
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Zip | 29072-9393
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Country | US
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Telephone | 803-567-8900
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Fax | 803-567-8909
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE STE 300
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City | GREENVILLE
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State | SC
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Zip | 29601-2899
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Country | US
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Telephone | 864-522-8611
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5859
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License Number State | SC
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