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1457959041 NPI number — LEONARD C GLASS MD

NPI Number: 1457959041
Health Care Provider/Practitioner: LEONARD C GLASS MD

Information about “1457959041” NPI (LEONARD C GLASS MD) exists in 1457959041 in HTML format HTML  |  1457959041 in plain Text format TXT  |  1457959041 in PDF (Portable Document Format) PDF  |  1457959041 in an XML format XML  formats.

NPI Number : 1457959041 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457959041",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GLASS",
    "FirstName": "LEONARD",
    "MiddleName": "C",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2150 MULSANNE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ZIONSVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46077-9081",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-504-2375",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "LILLY CORPORATE CENTER",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46285-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-504-2375",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/15/2020",
    "LastUpdateDate": "10/15/2020",
    "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": "207RE0101X",
          "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
          "LicenseNumber": "K7160",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RE0101X",
          "TaxonomyName": "Endocrinology, Diabetes & Metabolism Physician",
          "LicenseNumber": "01060509A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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