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1053844951 NPI number — DANIEL LEONOR MD

NPI Number: 1053844951
Health Care Provider/Practitioner: DANIEL LEONOR MD

Information about “1053844951” NPI (DANIEL LEONOR MD) exists in 1053844951 in HTML format HTML  |  1053844951 in plain Text format TXT  |  1053844951 in PDF (Portable Document Format) PDF  |  1053844951 in an XML format XML  formats.

NPI Number : 1053844951 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053844951",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEONOR",
    "FirstName": "DANIEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 MEDICAL CENTER DR",
    "SecondLineMailingAddress": "P.O. BOX 9137",
    "MailingAddressCityName": "MORGANTOWN",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "26506-1200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "304-293-5323",
    "MailingAddressFaxNumber": "304-293-8724",
    "FirstLinePracticeLocationAddress": "421 CHEW ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALLENTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18102-3406",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-293-5323",
    "PracticeLocationAddressFaxNumber": "304-293-8724",
    "EnumerationDate": "04/07/2017",
    "LastUpdateDate": "02/08/2023",
    "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": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "MD474474",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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