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General NPI Number Information
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NPI Number | 1215744180
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Entity Type | Individual
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Provider Name | LOGAN FLANERY DC
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Gender | Male
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 10036 DARNESTOWN RD
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City | ROCKVILLE
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State | MD
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Zip | 20850-3313
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Country | US
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Telephone | 240-875-5589
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 SHELBURNE TER APT 411
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5304
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Country | US
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Telephone | 520-912-1610
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 04218
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License Number State | MD
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