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General NPI Number Information
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NPI Number | 1295923290
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Entity Type | Organization
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Legal Business Name | TONY R. LOGGINS M.D. P.A.
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 2222 W 24TH ST UNIT 6
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City | PLAINVIEW
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State | TX
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Zip | 79072-1802
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Country | US
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Telephone | 806-293-5113
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Fax | 806-296-7990
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Provider Business Mailing Address
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Address Line | 2222 W 24TH ST UNIT 6
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City | PLAINVIEW
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State | TX
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Zip | 79072-1802
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Country | US
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Telephone | 806-293-5113
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Fax | 806-296-7990
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Authorized Official
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Title or Position | OWNER
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Name | DR. TONY R LOGGINS
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Credential | M.D.
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Telephone | 806-293-5113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H2541
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License Number State | TX
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