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General NPI Number Information
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NPI Number | 1285544197
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Entity Type | Individual
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Provider Name | REGINA LOGA APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | WI CARE CLINICAL LABS, 2200 VICTORY PKWY SUITE 501
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City | CINCINNATI
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State | OH
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Zip | 45206-2815
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Country | US
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Telephone | 513-322-4052
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Fax | 513-279-9447
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Provider Business Mailing Address
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Address Line | WI CARE CLINICAL LABS, 2200 VICTORY PKWY SUITE 501
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City | CINCINNATI
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State | OH
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Zip | 45206-2815
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Country | US
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Telephone | 513-322-4052
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Fax | 513-279-9447
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4055011
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License Number State | KY
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