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General NPI Number Information
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NPI Number | 1174586531
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Entity Type | Individual
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Provider Name | RAMESH CHANDER GUPTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 1408 COMMERCIAL WAY
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City | BAKERSFIELD
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State | CA
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Zip | 93309
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Country | US
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Telephone | 661-327-4455
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Fax | 661-633-3976
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Provider Business Mailing Address
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Address Line | PO BOX 1805
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City | BAKERSFIELD
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State | CA
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Zip | 93302
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Country | US
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Telephone | 661-864-3664
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Fax | 661-328-0316
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A045356
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License Number State | CA
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