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General NPI Number Information
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NPI Number | 1033164850
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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 | 05/23/2006
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Last Update Date | 04/06/2021
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Provider Practice Location Address
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Address Line | 132 GROVE ST SUITE A
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City | HADDONFIELD
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State | NJ
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Zip | 08033-1224
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Country | US
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Telephone | 856-354-2211
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Fax | 856-354-6181
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N STE 320
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City | MARLTON
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State | NJ
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Zip | 08053-3426
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Country | US
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Telephone | 856-872-7055
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP AND COO
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Name | CHARLES MCQUEARY
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Credential |
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Telephone | 856-872-7055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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