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General NPI Number Information
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NPI Number | 1609695527
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Entity Type | Organization
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Legal Business Name | N GUPTA MEDICAL PC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 286 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3327
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Country | US
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Telephone | 732-259-2813
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Fax | 845-362-8474
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Provider Business Mailing Address
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Address Line | 286 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3327
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Country | US
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Telephone | 845-362-8400
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Fax | 845-362-8474
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Authorized Official
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Title or Position | OWNER
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Name | NICKHIL GUPTA
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Credential | DO
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Telephone | 732-259-2813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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