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General NPI Number Information
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NPI Number | 1699610964
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Entity Type | Organization
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Legal Business Name | LIVE FAMILY CARE PENNINGTON, LLC
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 800 DENOW RD STE E
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City | PENNINGTON
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State | NJ
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Zip | 08534-5247
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Country | US
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Telephone | 609-681-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CARNEGIE CTR STE 150
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City | PRINCETON
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State | NJ
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Zip | 08540-6285
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Country | US
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Telephone | 609-900-3310
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Fax |
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Authorized Official
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Title or Position | CEO, APN
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Name | BROWLYN MARQUEZ
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Credential | APN
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Telephone | 732-621-9198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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