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General NPI Number Information
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NPI Number | 1588096465
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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 | 08/02/2013
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 100 BRICK RD SUITE 115
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City | MARLTON
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State | NJ
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Zip | 08053-2146
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Country | US
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Telephone | 856-983-1400
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Fax | 856-983-1681
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Provider Business Mailing Address
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Address Line | PO BOX 71422
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City | PHILADELPHIA
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State | PA
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Zip | 19176-1422
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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 | CEO
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Name | DR. JOHN M TEDESCHI SR.
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Credential | M.D.
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Telephone | 856-782-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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