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General NPI Number Information
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NPI Number | 1891918348
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Entity Type | Organization
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Legal Business Name | RASHMI GUPTA MD PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 29592 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1019
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Country | US
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Telephone | 248-354-0967
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Fax | 248-354-6614
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Provider Business Mailing Address
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Address Line | 29592 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1019
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Country | US
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Telephone | 248-354-0967
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Fax | 248-354-6614
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KIM BAYNES
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Credential |
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Telephone | 248-354-0967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301048301
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License Number State | MI
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