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General NPI Number Information
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NPI Number | 1750100855
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Entity Type | Individual
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Provider Name | CHELSEE NUTT APRN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 320 RACETRACK RD NW STE 100D
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1796
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Country | US
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Telephone | 448-202-6100
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Fax | 448-202-6101
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Provider Business Mailing Address
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Address Line | 320 RACETRACK RD NW STE 100D
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1796
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Country | US
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Telephone | 448-202-6100
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Fax | 448-202-6101
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN1104257
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License Number State | FL
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