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NPI Code Detail

MEDICARE: INADVANCE MEDICINE ASSOCIATES EAST

MEDICARE: INADVANCE MEDICINE ASSOCIATES EAST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1619837119
Entity Type Code : Organization
Provider Name (Legal Business Name) : INADVANCE MEDICINE ASSOCIATES EAST
Provider Business Mailing Address
First Line : 4343 EAST OUTLIER BLVD.
Second Line : SUITE 100W
City : PHOENIX
State : AZ
Zip : 85008-6507
Country : US
Telephone Number : 877-358-8648
Fax Number : 877-877-6875
Provider Business Practice Location Address
First Line : 4 PRINCESS ROAD
Second Line : SUITE 201
City : LAWRENCEVILLE
State : NJ
Zip : 08648
Country : US
Telephone Number : 877-358-8648
Fax Number : 877-877-6875
Authorized Official
Title or Position : MEDICAL BILLING SPECIALIST
Name : JUANA SLACK
Credential :
Telephone Number : 480-646-9086
Provider Enumeration Date : 11/17/2025
Last Update Date : 02/04/2026

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Directions to “INADVANCE MEDICINE ASSOCIATES EAST ” Practice Location

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