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1700047313 NPI number — SHELLEY IRVING MURPHY DMD

NPI Number: 1700047313
Health Care Provider/Practitioner: SHELLEY IRVING MURPHY DMD

Information about “1700047313” NPI (SHELLEY IRVING MURPHY DMD) exists in 1700047313 in HTML format HTML  |  1700047313 in plain Text format TXT  |  1700047313 in PDF (Portable Document Format) PDF  |  1700047313 in an XML format XML  formats.

NPI Number : 1700047313 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700047313",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MURPHY",
    "FirstName": "SHELLEY",
    "MiddleName": "IRVING",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "IRVING",
    "OtherFirstName": "SHELLEY",
    "OtherMiddleName": "DIANE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "9 EXECUTIVE PARK RD STE B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HILTON HEAD ISLAND",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29928-4703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-842-2300",
    "MailingAddressFaxNumber": "843-842-3065",
    "FirstLinePracticeLocationAddress": "9 EXECUTIVE PARK RD STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HILTON HEAD ISLAND",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29928-4703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-842-2300",
    "PracticeLocationAddressFaxNumber": "843-842-3065",
    "EnumerationDate": "06/17/2008",
    "LastUpdateDate": "06/16/2011",
    "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": "1223D0001X",
          "TaxonomyName": "Public Health Dentistry",
          "LicenseNumber": "D9100",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "6943",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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