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General NPI Number Information
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NPI Number | 1801019062
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Entity Type | Individual
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Provider Name | UPASNA GUPTA-BUDHWANI P.A.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 16260 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-2203
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Country | US
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Telephone | 951-534-4789
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Fax |
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Provider Business Mailing Address
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Address Line | 3834 CRESTVIEW RD
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City | CULVER CITY
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State | CA
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Zip | 90232-3004
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Country | US
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Telephone | 908-451-1695
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA53521
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License Number State | CA
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