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General NPI Number Information
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NPI Number | 1316374408
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Entity Type | Organization
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Legal Business Name | S&P GUPTA ENTERPRISE LLC
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2604 E STATE HIGHWAY 71
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City | BASTROP
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State | TX
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Zip | 78602-5094
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Country | US
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Telephone | 512-581-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 E STATE HIGHWAY 71
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City | BASTROP
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State | TX
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Zip | 78602-5094
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Country | US
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Telephone | 512-985-6107
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Fax | 512-379-7481
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Authorized Official
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Title or Position | OWNER
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Name | JUSTIN YARMARK
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Credential |
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Telephone | 512-987-4542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | TX
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