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General NPI Number Information
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NPI Number | 1164367124
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Entity Type | Organization
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Legal Business Name | TARA D MARSH, PT, DPT, LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 2385 LAWRENCEVILLE HWY STE A
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City | DECATUR
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State | GA
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Zip | 30033-3168
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Country | US
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Telephone | 817-798-9314
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 LAWRENCEVILLE HWY STE A
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City | DECATUR
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State | GA
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Zip | 30033-3168
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Country | US
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Telephone | 817-798-9314
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | TARA DAWN MARSH
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Credential | PT,DPT
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Telephone | 470-563-8130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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