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NPI Code Detail

MEDICARE: DINA MURRAY

MEDICARE: DINA 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1982886073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA MURRAY
Provider Business Mailing Address
First Line : 3305 66TH AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2113
Country : US
Telephone Number : 510-382-1254
Fax Number : 510-261-3112
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 510-437-4014
Fax Number : 510-261-3112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2007
Last Update Date : 11/29/2007

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Directions to “ DINA MURRAY ” Practice Location

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