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General NPI Number Information
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NPI Number | 1235103888
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Entity Type | Individual
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Provider Name | NAVYASH GUPTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 99 N LA CIENEGA BLVD STE 307
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2283
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Country | US
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Telephone | 310-423-7040
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Fax |
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Provider Business Mailing Address
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Address Line | 9977 WOODS DR SUITE 355
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City | SKOKIE
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State | IL
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Zip | 60077-1057
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Country | US
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Telephone | 847-663-8050
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Fax | 847-663-8054
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036095219
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | G145199
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License Number State | CA
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