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General NPI Number Information
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NPI Number | 1033749288
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Entity Type | Organization
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Legal Business Name | ATLANTA CLINICAL RESEARCH CENTERS LLC
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 5673 PEACHTREE DUNWOODY RD STE 440A
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City | ATLANTA
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State | GA
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Zip | 30342-1797
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Country | US
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Telephone | 404-296-1130
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Fax | 404-600-4466
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Provider Business Mailing Address
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Address Line | 5673 PEACHTREE DUNWOODY RD STE 440
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City | ATLANTA
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State | GA
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Zip | 30342-1797
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Country | US
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Telephone | 404-296-1130
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Fax | 404-600-4466
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BOBBY V KHAN
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Credential | MD
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Telephone | 404-296-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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