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General NPI Number Information
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NPI Number | 1245641406
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Entity Type | Individual
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Provider Name | JEFFREY MCCALL PSYD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2014
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 2819 NW KITSAP PL
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City | SILVERDALE
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State | WA
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Zip | 98383-7686
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Country | US
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Telephone | 253-241-5237
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Fax | 360-718-3898
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Provider Business Mailing Address
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Address Line | 4446 BANNER RD SE
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City | PORT ORCHARD
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State | WA
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Zip | 98366-8846
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Country | US
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Telephone | 253-241-5237
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY00003626
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License Number State | WA
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