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NPI 1164348959

NPI 1164348959 : RAY FISHER SUPPLY LLC : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1164348959
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAY FISHER SUPPLY LLC 
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Dates
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    Enumeration Date     |    06/25/2026
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    Last Update Date     |    06/25/2026
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Provider Practice Location Address
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    Address Line         |    6629 N BLACKSTONE AVE 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93710-3503
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    Country              |    US
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    Telephone            |    559-437-3800
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    Fax                  |    559-437-3838
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Provider Business Mailing Address
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    Address Line         |    6629 N BLACKSTONE AVE 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93710-3503
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    Country              |    US
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    Telephone            |    559-437-3800
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    Fax                  |    559-437-3838
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     SHOUA  YANG 
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    Credential           |    
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    Telephone            |    559-437-3800
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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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Taxonomy #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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