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General NPI Number Information
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NPI Number | 1275437337
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Entity Type | Organization
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Legal Business Name | KANURRA PHARMACY LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1020 W MAIN ST STE 100L
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City | BOISE
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State | ID
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Zip | 83702-5789
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Country | US
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Telephone | 917-670-0993
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W 86TH ST APT 10E
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City | NEW YORK
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State | NY
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Zip | 10024-3173
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Country | US
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Telephone | 917-670-0993
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. SEMIH GULTEKIN
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Credential |
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Telephone | 914-439-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | NULL
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