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1568453090 NPI number — JAMES D LEBEDDA MD

NPI Number: 1568453090
Health Care Provider/Practitioner: JAMES D LEBEDDA MD

Information about “1568453090” NPI (JAMES D LEBEDDA MD) exists in 1568453090 in HTML format HTML  |  1568453090 in plain Text format TXT  |  1568453090 in PDF (Portable Document Format) PDF  |  1568453090 in an XML format XML  formats.

NPI Number : 1568453090 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568453090",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEBEDDA",
    "FirstName": "JAMES",
    "MiddleName": "D",
    "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": "123 BULLOCK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHADDS FORD",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19317-9742",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-619-7420",
    "MailingAddressFaxNumber": "610-876-6923",
    "FirstLinePracticeLocationAddress": "1 MEDICAL CENTER BLVD",
    "SecondLinePracticeLocationAddress": "STE 341",
    "PracticeLocationAddressCityName": "UPLAND",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19013-3902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-619-7420",
    "PracticeLocationAddressFaxNumber": "610-876-6923",
    "EnumerationDate": "11/03/2005",
    "LastUpdateDate": "10/22/2013",
    "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": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "MD019837E",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "25MA07594600",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "C10009071",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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