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General NPI Number Information
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NPI Number | 1093414088
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Entity Type | Organization
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Legal Business Name | ACCELERATED LABS LLC
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 260 PEACHTREE ST NW STE 2200
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City | ATLANTA
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State | GA
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Zip | 30303-1292
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Country | US
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Telephone | 770-940-2652
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Fax | 678-374-1355
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Provider Business Mailing Address
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Address Line | 260 PEACHTREE ST NW STE 2200
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City | ATLANTA
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State | GA
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Zip | 30303-1292
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Country | US
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Telephone | 770-940-2652
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Fax | 678-374-1355
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Authorized Official
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Title or Position | BUSINESS OWNER/CEO
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Name | NADEANA DEBROUGH
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Credential |
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Telephone | 770-940-2652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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