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General NPI Number Information
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NPI Number | 1093815078
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Entity Type | Organization
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Legal Business Name | GUPTA, D.O. & ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 821 E INTERSTATE 20
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City | WEATHERFORD
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State | TX
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Zip | 76086-6745
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Country | US
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Telephone | 817-596-4313
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Fax | 817-341-2394
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Provider Business Mailing Address
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Address Line | 821 E INTERSTATE 20
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City | WEATHERFORD
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State | TX
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Zip | 76086-6745
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Country | US
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Telephone | 817-596-4313
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Fax | 817-341-2394
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMIT GUPTA
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Credential | MHA
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Telephone | 469-348-8343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | J2044
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License Number State | TX
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