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Organization
ADVOCARE, LLC
Active
Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advanced Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
CINDY WAGGONER (PAYER RELATION COORDINATOR)
(856) 334-6025
Entity
Organization
Contact information
Practice address
111 VINE ST, HAMMONTON, NJ 08037-1447
(609) 561-2518
(609) 567-0934
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 872-7055
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0118078
CLIA
—
Enumeration date
12/31/2007
Last updated
10/27/2021
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