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General NPI Number Information
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NPI Number | 1710134895
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Entity Type | Individual
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Provider Name | PENNY CAROL LOGAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 9057 MANCHESTER HWY
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City | MORRISON
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State | TN
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Zip | 37357-5911
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Country | US
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Telephone | 606-306-7706
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Fax | 606-777-7560
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Provider Business Mailing Address
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Address Line | PO BOX 227
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City | ALBANY
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State | KY
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Zip | 42602-0227
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Country | US
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Telephone | 606-306-7706
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Fax | 606-777-7560
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5684P
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License Number State | KY
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