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General NPI Number Information
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NPI Number | 1518394881
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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 | 10/02/2013
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 320 ROUTE 73
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City | VOORHEES
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State | NJ
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Zip | 08043-9654
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Country | US
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Telephone | 856-335-4118
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Fax | 856-809-2594
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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 | 856-504-8029
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | DAWN M CANDIA
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Credential |
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Telephone | 856-872-7053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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