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NPI Code Detail

MEDICARE: SAMANTHA DORAN

MEDICARE: SAMANTHA DORAN
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1174025217
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA DORAN
Provider Business Mailing Address
First Line : 31926 VIA DEL PASO
Second Line :
City : WINCHESTER
State : CA
Zip : 92596-8604
Country : US
Telephone Number : 951-285-5803
Fax Number :
Provider Business Practice Location Address
First Line : 29970 TECHNOLOGY DR STE 212
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2649
Country : US
Telephone Number : 951-900-4414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 06/02/2025

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Directions to “ SAMANTHA DORAN ” Practice Location

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