MEDICARE: DAVID DAGG-MURRY PCC

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	101YP2500X	Professional Counselor	E3699	OH

General Provider Information

NPI Number	:	1326139429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID DAGG-MURRY PCC

Provider Business Mailing Address
First Line	:	3048 COLUMBUS LANCASTER RD NW
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8125
Country	:	US
Telephone Number	:	740-652-5652
Fax Number	:	740-422-1548

Provider Business Practice Location Address
First Line	:	3048 COLUMBUS LANCASTER RD NW
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-8125
Country	:	US
Telephone Number	:	740-652-5652
Fax Number	:	740-422-1548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	09/12/2024

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