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General NPI Number Information
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NPI Number | 1134938111
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Entity Type | Individual
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Provider Name | LOGAN OLIVIA TOTH MA, CTRS, CT
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 8251 MAYFIELD RD STE 200
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City | CHESTERLAND
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State | OH
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Zip | 44026-2567
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Country | US
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Telephone | 440-299-7909
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Fax |
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Provider Business Mailing Address
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Address Line | 937 FORESTBROOK LN
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City | PAINESVILLE
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State | OH
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Zip | 44077-7603
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Country | US
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Telephone | 440-251-6885
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2406420-TRNE
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License Number State | OH
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