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General NPI Number Information
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NPI Number | 1770250169
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Entity Type | Organization
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Legal Business Name | BHAWNA GUPTA DDS INC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 152 W EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-1303
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Country | US
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Telephone | 858-603-0281
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Fax | 855-701-1413
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Provider Business Mailing Address
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Address Line | 152 W EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-1303
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Country | US
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Telephone | 858-603-0281
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Fax | 855-701-1413
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | DR. BHAWNA GUPTA
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Credential |
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Telephone | 858-539-3331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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