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NPI Code Detail

MEDICARE: MS. DORI J TRUAX RI

MEDICARE: MS. DORI J TRUAX RI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorRI-T0606140923

General Provider Information

NPI Number : 1013037928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DORI J TRUAX RI
Provider Business Mailing Address
First Line : 1095 RIO RUSO DRIVE
Second Line :
City : WINDSOR
State : CA
Zip : 95492
Country : US
Telephone Number : 707-837-0506
Fax Number :
Provider Business Practice Location Address
First Line : 1901 CLEVELAND AVE
Second Line : SUITE B
City : SANTA ROSA
State : CA
Zip : 95401-4282
Country : US
Telephone Number : 707-576-0818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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Directions to “ MS. DORI J TRUAX RI” Practice Location

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