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General NPI Number Information
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NPI Number | 1407362510
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Entity Type | Organization
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Legal Business Name | GURU SPECIALTY PHARMACY INC
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 11804 ROCKAWAY BLVD
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-2420
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Country | US
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Telephone | 718-322-2228
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Fax |
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Provider Business Mailing Address
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Address Line | 11804 ROCKAWAY BLVD
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-2420
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Country | US
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Telephone | 718-322-2228
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IMRAN SIDDIQUI
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Credential |
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Telephone | 718-322-2228
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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 |
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