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General NPI Number Information
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NPI Number | 1720303639
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Entity Type | Individual
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Provider Name | THOMAS DAVID TARITY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 547 NEW ROAD
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City | SOMERS POINT
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State | NJ
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Zip | 08244
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Country | US
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Telephone | 609-927-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DRIVE, SUITE 410
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 856-355-0340
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | MD474056
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 25MA12441800
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License Number State | NJ
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