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General NPI Number Information
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NPI Number | 1750252482
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Entity Type | Individual
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Provider Name | LOGAN KATHERINE SHELMADINE MFT-A
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 255 NORTHWEST LN
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City | WARRENSVILLE
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State | NC
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Zip | 28693-9244
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Country | US
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Telephone | 828-303-2938
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 208
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City | JEFFERSON
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State | NC
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Zip | 28640-0208
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Country | US
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Telephone | 336-246-9449
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Fax | 336-982-3555
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20837A
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License Number State | NC
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