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General NPI Number Information
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NPI Number | 1376457747
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Entity Type | Organization
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Legal Business Name | PURESOUL TRADINGS LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 9925 HAYNES BRIDGE RD STE 200-555
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City | JOHNS CREEK
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State | GA
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Zip | 30022-8532
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Country | US
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Telephone | 404-984-9672
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Fax |
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Provider Business Mailing Address
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Address Line | 9925 HAYNES BRIDGE RD STE 200-555
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City | JOHNS CREEK
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State | GA
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Zip | 30022-8532
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Country | US
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Telephone | 404-984-9672
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MADHU KUMAR YANDURI
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Credential |
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Telephone | 404-984-9672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | NULL
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