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1013575356 NPI number — LEAH KATHERINE POPE DDS

NPI Number: 1013575356
Health Care Provider/Practitioner: LEAH KATHERINE POPE DDS

Information about “1013575356” NPI (LEAH KATHERINE POPE DDS) exists in 1013575356 in HTML format HTML  |  1013575356 in plain Text format TXT  |  1013575356 in PDF (Portable Document Format) PDF  |  1013575356 in an XML format XML  formats.

NPI Number : 1013575356 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013575356",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POPE",
    "FirstName": "LEAH",
    "MiddleName": "KATHERINE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12372 WOODMAR PL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CEDAR LAKE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46303-8060",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "219-614-6000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "320 E COMMERCIAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOWELL",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46356-1780",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "219-690-8866",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/02/2019",
    "LastUpdateDate": "02/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "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": "019.032324",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "12013299A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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