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General NPI Number Information
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NPI Number | 1497600399
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Entity Type | Organization
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Legal Business Name | MONARCH CONCIERGE MD DELAWARE, LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 1941 LIMESTONE RD STE 218
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City | WILMINGTON
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State | DE
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Zip | 19808-5400
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Country | US
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Telephone | 302-633-1442
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100030
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City | ATLANTA
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State | GA
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Zip | 30348-0030
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRANDON J SHAW
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Credential | MD
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Telephone | 302-633-1442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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