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General NPI Number Information
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NPI Number | 1578978599
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Entity Type | Individual
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Provider Name | SUNNY J. PATEL DPM
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Gender | Male
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Dates
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Enumeration Date | 06/28/2014
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 2610 GASKINS RD STE A
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City | HENRICO
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State | VA
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Zip | 23238-1403
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Country | US
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Telephone | 804-433-3233
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Fax | 804-823-9335
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Provider Business Mailing Address
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Address Line | 913 ALDEN PARKE DR
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5955
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Country | US
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Telephone | 804-240-9706
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103301200
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 0103301200
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 0103301200
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103301200
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License Number State | VA
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