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General NPI Number Information
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NPI Number | 1639367162
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Entity Type | Individual
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Provider Name | ANKUR GUPTA MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1222 S PATTERSON BLVD STE 220
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City | DAYTON
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State | OH
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Zip | 45402-2684
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Country | US
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Telephone | 937-223-5350
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Fax | 937-224-3112
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Provider Business Mailing Address
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Address Line | 725 UNIVERSITY BLVD
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City | DAYTON
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State | OH
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Zip | 45435-0001
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Country | US
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Telephone | 937-245-7100
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35-098338
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-098338
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | #390200000X
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License Number State | NY
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