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General NPI Number Information
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NPI Number | 1356826531
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Entity Type | Individual
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Provider Name | KATLYN LOGSDON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 17548 VETERANS MEMORIAL HWY
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City | KINGWOOD
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State | WV
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Zip | 26537-9797
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Country | US
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Telephone | 304-329-6979
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Fax |
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Provider Business Mailing Address
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Address Line | 48 WESTMINISTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26501-2414
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Country | US
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Telephone | 301-268-9886
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0009995
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License Number State | WV
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