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General NPI Number Information
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NPI Number | 1750841417
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Entity Type | Individual
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Provider Name | KELSEY BURK LOELIGER MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 706 N 8TH AVE
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City | DILLON
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State | SC
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Zip | 29536-2540
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Country | US
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Telephone | 843-777-5605
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Fax |
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Provider Business Mailing Address
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Address Line | 186 SEVEN FARMS DR STE F104
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City | DANIEL ISLAND
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State | SC
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Zip | 29492-8510
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A179236
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License Number State | CA
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