MEDICARE: MURRAY & DAKEN CLINICAL ASSOCIATES, LLC

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
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1235404054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MURRAY & DAKEN CLINICAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	7981 EASTERN AVE APT 308
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4886
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8455 COLESVILLE RD
Second Line	:	SUITE 1025
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3315
Country	:	US
Telephone Number	:	240-338-2349
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	JOHN DAKEN
Credential	:
Telephone Number	:	240-338-2349

Provider Enumeration Date	:	03/12/2012
Last Update Date	:	03/12/2012

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