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1801882246 NPI number — THOMAS L CLARY MD

NPI Number: 1801882246
Health Care Provider/Practitioner: THOMAS L CLARY MD

Information about “1801882246” NPI (THOMAS L CLARY MD) exists in 1801882246 in HTML format HTML  |  1801882246 in plain Text format TXT  |  1801882246 in PDF (Portable Document Format) PDF  |  1801882246 in an XML format XML  formats.

NPI Number : 1801882246 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801882246",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLARY",
    "FirstName": "THOMAS",
    "MiddleName": "L",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CLARY",
    "OtherFirstName": "THOMAS",
    "OtherMiddleName": "L",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 15004",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KNOXVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37901-5004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-541-8895",
    "MailingAddressFaxNumber": "865-633-4808",
    "FirstLinePracticeLocationAddress": "145 E VANCE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAK RIDGE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37830-6528",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-482-4088",
    "PracticeLocationAddressFaxNumber": "866-674-2033",
    "EnumerationDate": "09/21/2005",
    "LastUpdateDate": "09/23/2021",
    "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": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "MD15898",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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