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General NPI Number Information
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NPI Number | 1811257629
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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 | 05/26/2012
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 S SUITE 104A
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City | MARLTON
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State | NJ
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Zip | 08053-9642
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Country | US
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Telephone | 856-874-9777
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Fax | 856-874-9444
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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
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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