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NPI 1053256735

NPI 1053256735 : LIVE FAMILY CARE BELLMAWR LLC : BELLMAWR, NJ

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General NPI Number Information
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    NPI Number           |    1053256735
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIVE FAMILY CARE BELLMAWR LLC 
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Dates
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    Enumeration Date     |    04/21/2026
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    Last Update Date     |    04/22/2026
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Provider Practice Location Address
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    Address Line         |    363 W BROWNING RD 
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    City                 |    BELLMAWR
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    State                |    NJ
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    Zip                  |    08031-1982
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    Country              |    US
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    Telephone            |    856-588-0290
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    300 CARNEGIE CTR STE 150 
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    City                 |    PRINCETON
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    State                |    NJ
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    Zip                  |    08540-6285
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    Country              |    US
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    Telephone            |    609-900-3310
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO/APN
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    Name                 |     BROWLYN  MARQUEZ 
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    Credential           |    APN
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    Telephone            |    732-621-9198
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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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