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General NPI Number Information
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NPI Number | 1003486275
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Entity Type | Organization
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Legal Business Name | ADVOCARE, LLC
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 9800 CONNECTICUT DRIVE
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City | CROWN POINT
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State | IN
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Zip | 46307
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Country | US
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Telephone | 219-789-8426
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Fax | 888-972-4058
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Provider Business Mailing Address
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Address Line | 3201 STELLHORN ROAD SUITE A-145
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City | FORT WAYNE
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State | IN
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Zip | 46815
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Country | US
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Telephone | 260-341-3262
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Fax | 888-972-4058
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Authorized Official
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Title or Position | DIRECTOR OF COMPLIANCE
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Name | MR. THOMAS S TALARICO
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Credential |
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Telephone | 260-341-3262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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