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General NPI Number Information
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NPI Number | 1750214367
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Entity Type | Organization
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Legal Business Name | MEDICENA, LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 2213 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48603-3730
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Country | US
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Telephone | 989-279-0079
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Fax | 989-279-0077
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Provider Business Mailing Address
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Address Line | 2213 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48603-3730
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Country | US
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Telephone | 989-279-0079
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Fax | 989-279-0077
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Authorized Official
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Title or Position | OWNER
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Name | DILAFRUZ KUDRATOVA
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Credential |
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Telephone | 248-403-9680
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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 |
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License Number State |
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