MEDICARE: MS. DASHAWNA MARIE MURAGE M.A. S.T.N.A. H.H.A.

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	171W00000X	Contractor		OH

General Provider Information

NPI Number	:	1518258680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DASHAWNA MARIE MURAGE M.A. S.T.N.A. H.H.A.

Provider Business Mailing Address
First Line	:	1730 SECTION RD UNIT 37113
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45222-7505
Country	:	US
Telephone Number	:	513-513-4164
Fax Number	:	513-416-4100

Provider Business Practice Location Address
First Line	:	1730 SECTION RD
Second Line	:	37113
City	:	CINCINNATI
State	:	OH
Zip	:	45222-9991
Country	:	US
Telephone Number	:	513-593-5750
Fax Number	:	513-593-5750

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

Provider Enumeration Date	:	04/25/2011
Last Update Date	:	07/21/2022

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