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General NPI Number Information
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NPI Number | 1336051721
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Entity Type | Individual
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Provider Name | LOGAN JOHN FRAME DPT, MS
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Gender | Male
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 2316 56TH AVE W
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City | BETTENDORF
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State | IA
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Zip | 52722-4617
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Country | US
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Telephone | 815-772-5537
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Fax | 815-772-5528
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Provider Business Mailing Address
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Address Line | 303 N JACKSON ST
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City | MORRISON
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State | IL
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Zip | 61270-3042
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Country | US
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Telephone | 815-772-5548
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Fax | 815-772-2563
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 095857
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License Number State | IA
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