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General NPI Number Information
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NPI Number | 1346779519
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Entity Type | Individual
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Provider Name | JAMES LOGAN DREW PT, DPT, MBA, TPI
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Gender | Male
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 820 SCENIC HWY STE B
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City | LOOKOUT MOUNTAIN
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State | TN
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Zip | 37350-1418
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Country | US
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Telephone | 731-313-0057
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Fax | 423-558-0974
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Provider Business Mailing Address
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Address Line | PO BOX 45
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City | LOOKOUT MOUNTAIN
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State | TN
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Zip | 37350-0045
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Country | US
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Telephone | 731-313-0057
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Fax | 423-558-0974
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11318
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | GA
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