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General NPI Number Information
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NPI Number | 1912870940
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Entity Type | Organization
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Legal Business Name | DR. PATRICK DEMARCO, PHD, PLLC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 8802 119TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98373-7975
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Country | US
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Telephone | 253-401-5781
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Fax |
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Provider Business Mailing Address
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Address Line | 4227 S MERIDIAN STE D-112
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City | PUYALLUP
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State | WA
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Zip | 98373-3603
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Country | US
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Telephone | 253-401-5781
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST OWNER
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Name | DR. PATRICK DEMARCO
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Credential | PHD
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Telephone | 253-401-5781
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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 |
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License Number State |
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