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NPI Code Detail

MEDICARE: PAMELA UNDERKOFFLER

MEDICARE: PAMELA UNDERKOFFLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSW136534PA

General Provider Information

NPI Number : 1619561958
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA UNDERKOFFLER
Provider Business Mailing Address
First Line : 200 N 7TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17046-5040
Country : US
Telephone Number : 717-272-5464
Fax Number : 717-376-1712
Provider Business Practice Location Address
First Line : 297 CARE ST
Second Line :
City : HARRISBURG
State : PA
Zip : 17109-1521
Country : US
Telephone Number : 717-526-4881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2021
Last Update Date : 02/26/2021

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Directions to “ PAMELA UNDERKOFFLER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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