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General NPI Number Information
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NPI Number | 1013145374
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Entity Type | Organization
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Legal Business Name | GUARDIAN MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 703 N FULTON ST SUITE 202
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City | FRESNO
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State | CA
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Zip | 93728-3405
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Country | US
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Telephone | 559-237-3500
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Fax | 559-237-3535
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Provider Business Mailing Address
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Address Line | 703 N FULTON ST SUITE 202
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City | FRESNO
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State | CA
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Zip | 93728-3405
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Country | US
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Telephone | 559-237-3500
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Fax | 559-237-3535
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Authorized Official
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Title or Position | CEO/PRESIDENT/OWNER
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Name | MS. KARINE KHACHATOURIAN
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Credential |
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Telephone | 559-237-3500
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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 | CA
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