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General NPI Number Information
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NPI Number | 1003398264
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Entity Type | Organization
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Legal Business Name | ADVANCE CARE PARTNERS
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 4990 SADLER PL # 2550
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6122
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Country | US
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Telephone | 804-334-3802
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2550
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City | GLEN ALLEN
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State | VA
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Zip | 23058-2550
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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 | AUTHORIZED OFFICIAL
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Name | NIRAJ PATEL
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Credential |
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Telephone | 804-608-6012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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