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General NPI Number Information
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NPI Number | 1730482613
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Entity Type | Individual
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Provider Name | SUNIL RAMESHBHAI PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 1000 N FRONT ST PEDIATRIC CARDIOLOGY
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City | WORMLEYSBURG
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State | PA
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Zip | 17043
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Country | US
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Telephone | 717-761-0200
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Fax | 717-761-0641
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Provider Business Mailing Address
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Address Line | 1000 N FRONT ST
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City | WORMLEYSBURG
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State | PA
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Zip | 17043-1034
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | MD450042
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License Number State | PA
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