=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821768821
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUNITA ALPESH PATEL DR.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2021
-----------------------------------------------------
Last Update Date | 09/20/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 S 29TH ST STE A
-----------------------------------------------------
City | HARRISBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17104-2156
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-233-5344
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 146 ROBIN LN APT T6
-----------------------------------------------------
City | HUMMELSTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17036-8249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-982-2683
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP449217
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------