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General NPI Number Information
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NPI Number | 1114377025
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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 | 06/21/2016
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 11680 GREAT OAKS WAY STE 170
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City | ALPHARETTA
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State | GA
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Zip | 30022-2483
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Country | US
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Telephone | 404-296-1130
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Fax |
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Provider Business Mailing Address
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Address Line | 5671 PEACHTREE DUNWOODY RD STE 550
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City | ATLANTA
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State | GA
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Zip | 30342-5013
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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 | EXECUTIVE DIRECTOR
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Name | DR. BOBBY V KHAN
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Credential | M.D., PH.D.
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Telephone | 404-600-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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