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General NPI Number Information
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NPI Number | 1861351025
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Entity Type | Individual
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Provider Name | LOGAN CATHERINE WALTON
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 5955 ZEAMER AVE
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City | JBER
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State | AK
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Zip | 99506-3702
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Country | US
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Telephone | 907-580-0014
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Fax | 907-580-7996
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Provider Business Mailing Address
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Address Line | 11811 GALLOWAY LOOP
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City | EAGLE RIVER
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State | AK
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Zip | 99577-7316
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Country | US
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Telephone | 240-694-2000
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 25-210
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License Number State | AK
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