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General NPI Number Information
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NPI Number | 1164051413
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Entity Type | Individual
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Provider Name | LOGEN BREEHL DO
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Gender | Female
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229
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Country | US
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Telephone | 513-636-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 1528 SOUTHCROSS DR
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City | HEBRON
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State | KY
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Zip | 41048-6707
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34.016309
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 06118
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 34.016309
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License Number State | OH
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