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General NPI Number Information
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NPI Number | 1205858057
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Entity Type | Individual
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Provider Name | JEFFREY DIXON MURRAH LPC
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1345 SPACE PARK DR SUITE D
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City | HOUSTON
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State | TX
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Zip | 77058-3468
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Country | US
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Telephone | 713-344-0682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 423
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City | LA PORTE
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State | TX
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Zip | 77572-0423
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Country | US
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Telephone | 713-344-0682
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 11573
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6714
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 003311-041926
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License Number State | TX
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