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General NPI Number Information
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NPI Number | 1487405676
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Entity Type | Organization
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Legal Business Name | KGSS INC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 424 ARNEILL RD STE D
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City | CAMARILLO
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State | CA
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Zip | 93010-6433
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Country | US
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Telephone | 805-383-8340
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Fax | 805-383-8343
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Provider Business Mailing Address
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Address Line | 424 ARNEILL RD STE D
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City | CAMARILLO
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State | CA
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Zip | 93010-6433
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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 | PRESIDENT
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Name | KHATCHATUR SARAFIAN
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Credential | PHARM.D.
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Telephone | 818-309-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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