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General NPI Number Information
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NPI Number | 1598685091
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Entity Type | Individual
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Provider Name | LOGAN MCDANIELS
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Gender | Female
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 111 N SCHOOL ST
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City | POYEN
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State | AR
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Zip | 72128-8124
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Country | US
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Telephone | 501-332-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 CHESTNUT DR
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City | BISMARCK
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State | AR
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Zip | 71929-6778
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR3187
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License Number State | AR
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