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General NPI Number Information
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NPI Number | 1427434646
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Entity Type | Individual
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Provider Name | DANIEL TARI DPT
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Gender | Male
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 7423 ADAIRSVILLE HWY
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City | ADAIRSVILLE
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State | GA
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Zip | 30103-2014
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Country | US
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Telephone | 770-773-9315
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Fax | 770-773-9317
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Provider Business Mailing Address
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Address Line | 147 REINHARDT COLLEGE PKWY STE 9
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City | CANTON
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State | GA
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Zip | 30114-5295
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Country | US
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Telephone | 770-345-3057
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Fax | 770-345-3154
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT012044
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License Number State | GA
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