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General NPI Number Information
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NPI Number | 1558897124
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Entity Type | Individual
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Provider Name | REKHA KUMARI GUPTA MD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 1400 TULLIE RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-2309
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Country | US
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Telephone | 270-348-3763
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Fax |
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Provider Business Mailing Address
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Address Line | 737 BARNETT ST NE APT B1
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City | ATLANTA
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State | GA
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Zip | 30306-4111
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Country | US
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Telephone | 270-348-3763
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 92651
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License Number State | GA
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