@opentelemetry/instrumentation-pino has had support for sending logs for over a year: open-telemetry/opentelemetry-js-contrib@055ef41. I just realized that, since it is setup automatically by getNodeAutoInstrumentations() that I've been sending duplicate logs in that time frame. (Oops on my part!)
It would be ideal if this interaction was documented in the README to help future developers. Folks using node auto instrumentation probably don't need pino-opentelemetry-transport.