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General NPI Number Information
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NPI Number | 1114832151
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Entity Type | Organization
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Legal Business Name | MAX REV LLC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 3201 GEORGETOWN RD APT 1207
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City | FRANKFORT
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State | KY
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Zip | 40601-6607
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Country | US
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Telephone | 360-854-4258
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Fax |
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Provider Business Mailing Address
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Address Line | 445 W NEES AVE APT 263
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City | FRESNO
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State | CA
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Zip | 93711-6899
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHUBHKARAN SHUBHKARAN
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Credential |
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Telephone | 360-854-4258
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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 |
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