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General NPI Number Information
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NPI Number | 1477161578
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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 | 07/15/2020
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 1 EVES DR STE 109
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City | MARLTON
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State | NJ
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Zip | 08053-3125
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Country | US
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Telephone | 856-797-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 1 EVES DR STE 109
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City | MARLTON
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State | NJ
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Zip | 08053-3125
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Country | US
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Telephone | 856-797-8886
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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