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General NPI Number Information
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NPI Number | 1174660278
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Entity Type | Individual
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Provider Name | AMITABH GUPTA M.D. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 8198 WALNUT HILL LN STE 100
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-345-4440
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Fax | 214-345-4286
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Provider Business Mailing Address
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Address Line | 8198 WALNUT HILL LN STE 100
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City | DALLAS
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State | TX
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Zip | 75231-4316
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Country | US
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Telephone | 214-345-4440
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Fax | 214-345-4286
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 04-41502
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD184424
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME103112
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 56538
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | T4928
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 69811
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25IA12293000
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME103112
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | P5074
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License Number State | TX
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