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General NPI Number Information
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NPI Number | 1164377602
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Entity Type | Organization
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Legal Business Name | KULANU MEDICAL LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 4905 LAVISTA RD STE A
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City | TUCKER
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State | GA
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Zip | 30084-4409
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Country | US
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Telephone | 770-680-5740
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Fax |
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Provider Business Mailing Address
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Address Line | 4905 LAVISTA RD STE A
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City | TUCKER
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State | GA
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Zip | 30084-4409
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Country | US
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Telephone | 770-680-5740
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. OHAD KOTT
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Credential | MD
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Telephone | 770-680-5740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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