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General NPI Number Information
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NPI Number | 1124331988
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Entity Type | Individual
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Provider Name | PRAGYA GUPTA MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 1708 COIT RD
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City | PLANO
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State | TX
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Zip | 75075-5024
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Country | US
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Telephone | 214-919-0757
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Fax | 972-437-8004
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD STE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1374
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Country | US
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Telephone | 972-204-5264
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Fax | 866-204-8511
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 275360
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 275360
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | S1406
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License Number State | TX
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