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NPI 1194994194

NPI 1194994194 : THOMAS TUMBARELLO DC PC : MARIETTA, GA

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General NPI Number Information
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    NPI Number           |    1194994194
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    Entity Type          |    Organization 
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    Legal Business Name  |    THOMAS TUMBARELLO DC PC 
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Dates
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    Enumeration Date     |    02/22/2008
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    Last Update Date     |    10/16/2024
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Provider Practice Location Address
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    Address Line         |    700 SANDY PLAINS RD STE A8 
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    City                 |    MARIETTA
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    State                |    GA
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    Zip                  |    30066-6392
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    Country              |    US
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    Telephone            |    678-355-9090
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    Fax                  |    678-354-3691
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Provider Business Mailing Address
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    Address Line         |    700 SANDY PLAINS RD STE A8 
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    City                 |    MARIETTA
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    State                |    GA
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    Zip                  |    30066-6392
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    Country              |    US
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    Telephone            |    678-355-9090
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    Fax                  |    678-354-3691
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Authorized Official
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    Title or Position    |    CHIROPRACTOR
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    Name                 |    DR. THOMAS  TUMBARELLO 
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    Credential           |    DC
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    Telephone            |    678-355-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    CHIR006645
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    License Number State |    GA
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