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General NPI Number Information
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NPI Number | 1316451032
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Entity Type | Individual
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Provider Name | CHELSEA GORE HARDEE
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Gender | Female
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Dates
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Enumeration Date | 11/17/2017
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 3980 HIGHWAY 9 E STE 220
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City | LITTLE RIVER
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State | SC
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Zip | 29566-8164
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Country | US
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Telephone | 843-399-9774
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Fax |
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Provider Business Mailing Address
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Address Line | 7979 BIRCHFIELD DR
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City | LORIS
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State | SC
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Zip | 29569-5401
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21618
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 230304
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License Number State | SC
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