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General NPI Number Information
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NPI Number | 1376408955
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Entity Type | Individual
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Provider Name | KAITLYN KNUREK PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 65 W JIMMIE LEEDS RD
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City | POMONA
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State | NJ
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Zip | 08240-9102
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Country | US
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Telephone | 609-652-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CONGRESS LN
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City | SOUTH RIVER
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State | NJ
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Zip | 08882-2579
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Country | US
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Telephone | 732-306-6515
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI04472500
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License Number State | NJ
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