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General NPI Number Information
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NPI Number | 1932399441
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Entity Type | Organization
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Legal Business Name | ARUNA GUPTA, MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 6850 BROCKTON AVENUE SUITE # 108
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City | RIVERSIDE
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State | CA
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Zip | 92506-3816
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Country | US
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Telephone | 951-787-7753
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20293
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City | RIVERSIDE
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State | CA
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Zip | 92516-0293
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Country | US
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Telephone | 951-787-7753
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARUNA GUPTA
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Credential | MD
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Telephone | 951-787-7753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A88415
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License Number State | CA
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