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General NPI Number Information
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NPI Number | 1144763319
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Entity Type | Organization
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Legal Business Name | SARAH DEMARCO, PSY.D.
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 140 COUNTY RD 106
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City | TENAFLY
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State | NJ
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Zip | 07670-1839
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Country | US
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Telephone | 732-600-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 140 COUNTY RD 106
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City | TENAFLY
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State | NJ
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Zip | 07670-1839
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Country | US
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Telephone | 732-600-5329
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. SARAH DEMARCO
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Credential | PSY.D.
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Telephone | 732-600-5329
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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 | 021383
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5618
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License Number State | NJ
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