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General NPI Number Information
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NPI Number | 1609279538
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Entity Type | Organization
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Legal Business Name | MUSLIMAH CONSULTATION GROUP, INC.
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 3300 MEMORIAL DR STE D1
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City | DECATUR
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State | GA
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Zip | 30032-2700
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Country | US
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Telephone | 404-663-1135
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Fax | 888-678-1435
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Provider Business Mailing Address
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Address Line | 1785 E PARK PLACE BLVD STE 201
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-3458
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Country | US
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Telephone | 404-663-1135
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Fax | 888-678-1435
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | MS. TARYN L. SIDDIQ
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Credential | MSW, CWSMT,CMHFAT,
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Telephone | 404-663-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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