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General NPI Number Information
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NPI Number | 1598479180
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Entity Type | Organization
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Legal Business Name | ADVOCARE SUPPORT SYSTEMS
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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 | 525 ROUTE 73 N STE 104
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City | MARLTON
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State | NJ
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Zip | 08053-3422
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Country | US
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Telephone | 856-356-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 6703 GERMANTOWN AVE STE 200
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2109
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Country | US
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Telephone | 856-356-0040
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MICHELLE KEYES
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Credential |
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Telephone | 267-265-2983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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