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1386850766 NPI number — REBECCA LEED REBMAN PA-C

NPI Number: 1386850766
Health Care Provider/Practitioner: REBECCA LEED REBMAN PA-C

Information about “1386850766” NPI (REBECCA LEED REBMAN PA-C) exists in 1386850766 in HTML format HTML  |  1386850766 in plain Text format TXT  |  1386850766 in PDF (Portable Document Format) PDF  |  1386850766 in an XML format XML  formats.

NPI Number : 1386850766 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386850766",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REBMAN",
    "FirstName": "REBECCA",
    "MiddleName": "LEED",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ALTON",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "LEED",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3400 LAFAYETTE RD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46222-1147",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-291-7422",
    "MailingAddressFaxNumber": "317-291-7433",
    "FirstLinePracticeLocationAddress": "3400 LAFAYETTE RD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46222-1147",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-291-7422",
    "PracticeLocationAddressFaxNumber": "317-291-7433",
    "EnumerationDate": "05/15/2007",
    "LastUpdateDate": "12/15/2025",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "10000798A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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