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1467745471 NPI number — MRS. SHELLEY HUCKABEE SMITH

NPI Number: 1467745471
Health Care Provider/Practitioner: MRS. SHELLEY HUCKABEE SMITH

Information about “1467745471” NPI (MRS. SHELLEY HUCKABEE SMITH) exists in 1467745471 in HTML format HTML  |  1467745471 in plain Text format TXT  |  1467745471 in PDF (Portable Document Format) PDF  |  1467745471 in an XML format XML  formats.

NPI Number : 1467745471 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467745471",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HUCKABEE SMITH",
    "FirstName": "SHELLEY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUCKABEE",
    "OtherFirstName": "SHELLEY",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3240 LYNN RIDGE DR",
    "SecondLineMailingAddress": "APT 2H",
    "MailingAddressCityName": "RALEIGH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27613-8936",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-340-1899",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2708 NE 14TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 5",
    "PracticeLocationAddressCityName": "POMPANO BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33062-3565",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-603-7885",
    "PracticeLocationAddressFaxNumber": "954-342-0273",
    "EnumerationDate": "05/24/2011",
    "LastUpdateDate": "05/24/2011",
    "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": "222Q00000X",
        "TaxonomyName": "Developmental Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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