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1205112463 NPI number — BRENDA GLASCOFF CPM, LM

NPI Number: 1205112463
Health Care Provider/Practitioner: BRENDA GLASCOFF CPM, LM

Information about “1205112463” NPI (BRENDA GLASCOFF CPM, LM) exists in 1205112463 in HTML format HTML  |  1205112463 in plain Text format TXT  |  1205112463 in PDF (Portable Document Format) PDF  |  1205112463 in an XML format XML  formats.

NPI Number : 1205112463 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205112463",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GLASCOFF",
    "FirstName": "BRENDA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CPM, LM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RODENBUSCH",
    "OtherFirstName": "MEG",
    "OtherMiddleName": "GLASCOFF",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CPM, LM",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "10026 LONGHORN SKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DRIPPING SPRINGS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78620-2622",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-629-0576",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10026 LONGHORN SKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DRIPPING SPRINGS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78620-2622",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-629-0576",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2011",
    "LastUpdateDate": "11/01/2011",
    "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": "176B00000X",
        "TaxonomyName": "Midwife",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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