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General NPI Number Information
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NPI Number | 1023690245
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Entity Type | Individual
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Provider Name | LOGAN MEREDITH CAPLAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2270 DULUTH HIGHWAY 120 STE 100
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City | DULUTH
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State | GA
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Zip | 30097-4142
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Country | US
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Telephone | 404-255-1933
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Fax | 404-943-8044
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Provider Business Mailing Address
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Address Line | 2270 DULUTH HIGHWAY 120 STE 100
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City | DULUTH
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State | GA
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Zip | 30097-4142
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Country | US
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Telephone | 404-255-1933
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Fax | 404-943-8044
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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 | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 104718
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License Number State | GA
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