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General NPI Number Information
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NPI Number | 1356127229
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Entity Type | Individual
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Provider Name | ASHLEY MARIE LOGAN APRN CNP CCRN
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Gender | Female
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 33300 CLEVELAND CLINIC BLVD
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City | AVON
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State | OH
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Zip | 44011-1172
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Country | US
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Telephone | 440-695-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 34658 GRAFTON EASTERN RD
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City | GRAFTON
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State | OH
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Zip | 44044-9217
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Country | US
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Telephone | 440-309-5478
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0034848
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License Number State | OH
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