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General NPI Number Information
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NPI Number | 1952457574
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Entity Type | Individual
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Provider Name | RAJAN K GUPTA MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 2045 N FRANKLIN ST 3RD FLOOD INTERVENTIONAL RADIOLOGY
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City | DENVER
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State | CO
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Zip | 80205-5437
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Country | US
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Telephone | 303-338-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 E DAKOTA AVE
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City | DENVER
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State | CO
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Zip | 80247-1314
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 45671
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 45671
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License Number State | CO
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