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1013399328 NPI number — LEONORD PAGADALA D.M.D

NPI Number: 1013399328
Health Care Provider/Practitioner: LEONORD PAGADALA D.M.D

Information about “1013399328” NPI (LEONORD PAGADALA D.M.D) exists in 1013399328 in HTML format HTML  |  1013399328 in plain Text format TXT  |  1013399328 in PDF (Portable Document Format) PDF  |  1013399328 in an XML format XML  formats.

NPI Number : 1013399328 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013399328",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PAGADALA",
    "FirstName": "LEONORD",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1155 BUCHANAN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA CLARA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95051-3914",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-623-0960",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1895 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WATSONVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95076-6024",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-763-4730",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/23/2015",
    "LastUpdateDate": "06/23/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "64561",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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