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General NPI Number Information
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NPI Number | 1881035699
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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 | 07/09/2013
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 540 LAFAYETTE RD SUITE D
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City | SPARTA
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State | NJ
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Zip | 07871-3497
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Country | US
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Telephone | 973-300-1553
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Fax | 973-383-5113
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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 |
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES MCQUEARY
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Credential |
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Telephone | 856-872-7055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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