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1063961860 NPI number — CHRISTINE MURPHY LEE PA-C

NPI Number: 1063961860
Health Care Provider/Practitioner: CHRISTINE MURPHY LEE PA-C

Information about “1063961860” NPI (CHRISTINE MURPHY LEE PA-C) exists in 1063961860 in HTML format HTML  |  1063961860 in plain Text format TXT  |  1063961860 in PDF (Portable Document Format) PDF  |  1063961860 in an XML format XML  formats.

NPI Number : 1063961860 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063961860",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "CHRISTINE",
    "MiddleName": "MURPHY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MURPHY",
    "OtherFirstName": "CHRISTINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6565 WEST MAIN ST",
    "SecondLineMailingAddress": "WESTSIDE FAMILY MEDICAL CENTER, P.C",
    "MailingAddressCityName": "KALAMAZOO",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49009",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6565 WEST MAIN ST",
    "SecondLinePracticeLocationAddress": "WESTSIDE FAMILY MEDICAL CENTER, P.C",
    "PracticeLocationAddressCityName": "KALAMAZOO",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49009",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "214-794-6632",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/22/2016",
    "LastUpdateDate": "04/25/2017",
    "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": "363AM0700X",
        "TaxonomyName": "Medical Physician Assistant",
        "LicenseNumber": "5601007884",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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