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General NPI Number Information
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NPI Number | 1952804395
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Entity Type | Individual
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Provider Name | LOGAN RIPLEY
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Gender | Female
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 8502 E PRINCESS DR STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5465
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Country | US
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Telephone | 623-263-3966
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Fax |
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Provider Business Mailing Address
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Address Line | 15801 S 48TH ST APT 3175
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City | PHOENIX
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State | AZ
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Zip | 85048-0854
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Country | US
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Telephone | 916-759-4867
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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