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General NPI Number Information
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NPI Number | 1174466460
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Entity Type | Organization
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Legal Business Name | LOGAN INTERNATIONAL LLC
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Dates
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Enumeration Date | 04/11/2026
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Last Update Date | 04/11/2026
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Provider Practice Location Address
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Address Line | 8900 E JEFFERSON AVE APT 810
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City | DETROIT
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State | MI
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Zip | 48214-4130
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Country | US
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Telephone | 586-601-5879
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 E JEFFERSON AVE APT 810
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City | DETROIT
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State | MI
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Zip | 48214-4130
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Country | US
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Telephone | 586-601-5879
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. PENNY LOGAN
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Credential | PHD
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Telephone | 586-601-5879
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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 |
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License Number State |
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