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General NPI Number Information
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NPI Number | 1750368239
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Entity Type | Individual
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Provider Name | RAJESH GUPTA MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 2630 WILLARD DAIRY RD STE 303
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City | HIGH POINT
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State | NC
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Zip | 27265-8354
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Country | US
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Telephone | 336-547-1745
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4485
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City | ASHEBORO
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State | NC
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Zip | 27204-4485
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Country | US
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Telephone | 336-629-3313
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Fax | 336-629-9002
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 9700067
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License Number State | NC
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