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General NPI Number Information
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NPI Number | 1144974676
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Entity Type | Organization
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Legal Business Name | DR. PATRICK MACLEAMY & ASSOCIATES PSYCHOLOGICAL ASSESSMENT INC.
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 755 BAYWOOD DR FL 2
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City | PETALUMA
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State | CA
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Zip | 94954-5510
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Country | US
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Telephone | 707-241-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 755 BAYWOOD DR FL 2
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City | PETALUMA
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State | CA
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Zip | 94954-5510
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Country | US
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Telephone | 707-241-3559
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK MACLEAMY
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Credential |
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Telephone | 707-241-3559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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