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NPI Code Detail

MEDICARE: PAULINE MURRAY

MEDICARE:   PAULINE  MURRAY
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
1374U00000XHome Health Aide726769

General Provider Information

NPI Number : 1346413895
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINE MURRAY
Provider Business Mailing Address
First Line : 5440 CRENSHAW BLVD # 36
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-2408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3321 W 54TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-4821
Country : US
Telephone Number : 323-667-4002
Fax Number : 323-298-9878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 04/04/2008

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Directions to “ PAULINE MURRAY ” Practice Location

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