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General NPI Number Information
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NPI Number | 1205887767
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Entity Type | Individual
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Provider Name | DEVIN MARSH PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 9040A JACKSON AVE
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 TRAPANI LN
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-6264
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Country | US
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Telephone | 541-799-6902
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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 | 3768
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License Number State | AZ
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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 | PSY35272
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License Number State | CA
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