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General NPI Number Information
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NPI Number | 1952751695
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Entity Type | Individual
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Provider Name | TAMERAH LORRAINE MARABLE DDS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2385 PEACHTREE RD NE STE A2AB
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City | ATLANTA
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State | GA
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Zip | 30305-4139
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Country | US
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Telephone | 404-750-4442
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 PEACHTREE RD NE STE A2AB
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City | ATLANTA
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State | GA
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Zip | 30305-4139
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Country | US
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Telephone | 404-750-4442
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN015572
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License Number State | GA
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