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General NPI Number Information
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NPI Number | 1154741031
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Entity Type | Individual
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Provider Name | TANYA GUPTA MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2014
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 301 OLD SAN FRANCISCO RD
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City | SUNNYVALE
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State | CA
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Zip | 94086-6386
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Country | US
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Telephone | 408-730-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 325 DISTEL CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1408
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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 |
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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 | A138407
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A138407
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | A138407
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A138407
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License Number State | CA
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