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General NPI Number Information
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NPI Number | 1275247173
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Entity Type | Individual
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Provider Name | JOANNA MARIE TARULLO DC
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Gender | Female
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 11 CHARLEY HARPER DR SE
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City | CARTERSVILLE
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State | GA
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Zip | 30120-1122
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Country | US
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Telephone | 678-719-0891
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Fax |
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Provider Business Mailing Address
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Address Line | 11 CHARLEY HARPER DR SE
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City | CARTERSVILLE
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State | GA
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Zip | 30120-1122
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Country | US
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Telephone | 678-719-0891
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0008638
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR011287
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License Number State | GA
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