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General NPI Number Information
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NPI Number | 1114631769
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Entity Type | Organization
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Legal Business Name | LIVE FAMILY CARE PLLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 107 TOWN CENTER RD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2330
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Country | US
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Telephone | 484-750-5212
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Fax |
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 484-750-5212
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BROWLYN MARQUEZ
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Credential | APN-C
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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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