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General NPI Number Information
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NPI Number | 1447080213
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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 | 08/06/2024
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 2025 HAMBURG TPKE STE G
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City | WAYNE
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State | NJ
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Zip | 07470-6250
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Country | US
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Telephone | 201-636-1887
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Fax |
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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 | DIRECTOR
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Name | DAWN M CANDIA
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Credential |
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Telephone | 856-389-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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