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General NPI Number Information
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NPI Number | 1437493277
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Entity Type | Individual
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Provider Name | CHAD HARLIN GNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3811 PROSPECT CHURCH RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-8448
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Country | US
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Telephone | 423-645-2481
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 PROSPECT CHURCH RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-8448
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Country | US
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Telephone | 423-645-2481
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 124027
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 33674
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | GAA-NP003042
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License Number State | GA
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