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General NPI Number Information
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NPI Number | 1629914247
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Entity Type | Individual
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Provider Name | SHAWN MICHAEL MCINERNEY
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Gender | Male
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 3 TREEMAN DR UNIT 103
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4777
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Country | US
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Telephone | 908-722-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 94 READINGTON RD
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3414
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Country | US
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Telephone | 908-722-8222
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | NJ
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