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General NPI Number Information
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NPI Number | 1497440168
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Entity Type | Individual
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Provider Name | LOGAN GEHMAN DC
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Gender | Male
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 121 REDNERS WAY STE 201
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City | LEESPORT
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State | PA
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Zip | 19533-8652
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Country | US
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Telephone | 610-698-4681
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Fax |
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Provider Business Mailing Address
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Address Line | 119 SCHWEITZ RD
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City | FLEETWOOD
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State | PA
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Zip | 19522-9736
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Country | US
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Telephone | 484-793-5553
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC011832
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License Number State | PA
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