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Organization
LIV ADVANTIA DC PLLC
Active
Organization
LIV ADVANTIA DC PLLC
Active
Other names
Liv by Advantia Health
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DODSON (CREDENTIALING MANAGER)
(443) 398-0189
Entity
Organization
Contact information
Practice address
1443 U ST NW, WASHINGTON, DC 20009-3974
(202) 315-5223
Mailing address
1443 U ST NW, WASHINGTON, DC 20009-3974
(202) 481-9205
(833) 629-0566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/03/2020
Last updated
08/06/2024
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