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General NPI Number Information
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NPI Number | 1619671021
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Entity Type | Individual
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Provider Name | KALI GUPTON
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Gender | Female
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1368 HIGHWAY 192 E
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City | LONDON
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State | KY
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Zip | 40741-3123
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Country | US
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Telephone | 606-864-6680
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Fax |
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Provider Business Mailing Address
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Address Line | 740 S LIMESTONE A219
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-257-3462
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10924
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 10924
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License Number State | KY
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