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General NPI Number Information
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NPI Number | 1205134731
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Entity Type | Organization
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Legal Business Name | MONA R GUPTA, DO INCORPORATED
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3801 BARRETT DR
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City | RALEIGH
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State | NC
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Zip | 27609-7224
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Country | US
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Telephone | 919-870-8409
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Fax | 877-622-8953
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Provider Business Mailing Address
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Address Line | 3801 BARRETT DR
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City | RALEIGH
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State | NC
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Zip | 27609-7224
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Country | US
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Telephone | 919-870-8409
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Fax | 877-622-8953
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Authorized Official
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Title or Position | PSYCHIATRIST/OWNER
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Name | DR. MONA RAJ GUPTA
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Credential | DO
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Telephone | 919-870-8409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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