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General NPI Number Information
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NPI Number | 1922427368
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Entity Type | Individual
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Provider Name | NACHIKETA JIGYASU GUPTA M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 5245 W HIGHWAY 290
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City | AUSTIN
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State | TX
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Zip | 78735-8963
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Country | US
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Telephone | 254-724-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | U9935
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A170060
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME173634
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License Number State | FL
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