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General NPI Number Information
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NPI Number | 1447905666
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Entity Type | Organization
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Legal Business Name | CONCIERGE WELLNESS AND BONE HEALTH
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 780 RTE 37 W STE 330
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City | TOMS RIVER
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State | NJ
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Zip | 08755-5064
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Country | US
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Telephone | 609-713-1044
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Fax |
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Provider Business Mailing Address
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Address Line | 133 MOREY PLACE RD
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City | WARETOWN
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State | NJ
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Zip | 08758-2629
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Country | US
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Telephone | 609-713-1044
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAWN ALAN DENNING JR.
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Credential | DNP, APN
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Telephone | 609-713-1044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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