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General NPI Number Information
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NPI Number | 1073750717
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Entity Type | Individual
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Provider Name | JOHN P GAROFALO PHD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 5201 OLYMPIC DR STE 210
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City | GIG HARBOR
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State | WA
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Zip | 98335-1778
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Country | US
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Telephone | 253-372-8635
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 143RD ST NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-9705
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Country | US
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Telephone | 503-502-9683
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60667177
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License Number State | WA
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