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General NPI Number Information
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NPI Number | 1790578045
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Entity Type | Individual
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Provider Name | LOGAN BRACKMAN DC
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Gender | Male
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 3895 N WHEELING AVE
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City | MUNCIE
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State | IN
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Zip | 47304-1776
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Country | US
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Telephone | 765-288-8851
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Fax | 765-288-8840
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Provider Business Mailing Address
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Address Line | 3895 N WHEELING AVE
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City | MUNCIE
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State | IN
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Zip | 47304-1776
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Country | US
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Telephone | 765-288-8851
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Fax | 765-288-8840
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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 | 08003403A
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License Number State | IN
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