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General NPI Number Information
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NPI Number | 1528647591
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Entity Type | Organization
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Legal Business Name | PLACEBO GROUP, LLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 2075 W PARK PLACE BLVD STE B
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-3542
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Country | US
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Telephone | 404-410-9114
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Fax | 404-521-4665
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Provider Business Mailing Address
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Address Line | 2075 W PARK PLACE BLVD STE B
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-3542
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Country | US
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Telephone | 404-410-9114
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Fax | 404-521-4665
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Authorized Official
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Title or Position | OWNER
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Name | KHALIL SHAFIQ
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Credential |
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Telephone | 404-410-9114
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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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