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General NPI Number Information
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NPI Number | 1568255487
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Entity Type | Organization
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Legal Business Name | K&A MEDICAL SUPPLIES
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1319 W BULLARD AVE STE 106
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City | FRESNO
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State | CA
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Zip | 93711-2465
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Country | US
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Telephone | 559-577-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 415 HERITAGE AVE
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City | CLOVIS
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State | CA
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Zip | 93619-7638
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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 | CHIEF EXECUTIVE OFFICER
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Name | KARO ARESTAKESYAN
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Credential |
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Telephone | 559-577-9907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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