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General NPI Number Information
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NPI Number | 1306636816
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Entity Type | Organization
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Legal Business Name | JK CARE SUPPLIES LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 15201 PLEASANT RIDGE WAY APT 1413
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City | FRISCO
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State | TX
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Zip | 75033-0371
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Country | US
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Telephone | 646-920-5833
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Fax | 646-920-5833
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Provider Business Mailing Address
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Address Line | 1684 W 10TH ST APT 71684W10
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City | BROOKLYN
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State | NY
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Zip | 11223-1156
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Country | US
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Telephone | 646-920-5833
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Fax | 646-920-5833
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ISMAIL KHAN
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Credential |
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Telephone | 646-920-5833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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