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General NPI Number Information
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NPI Number | 1093639502
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Entity Type | Organization
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Legal Business Name | DIVYA GUPTA MD INC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 41111 MISSION BLVD STE 107
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City | FREMONT
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State | CA
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Zip | 94539-3922
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Country | US
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Telephone | 510-405-5443
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Fax | 510-248-0789
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Provider Business Mailing Address
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Address Line | 38902 APPLEGATE TER
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City | FREMONT
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State | CA
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Zip | 94536-4256
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Country | US
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Telephone | 510-435-9040
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Fax | 510-248-0789
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIVYA GUPTA
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Credential | MD
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Telephone | 510-435-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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