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General NPI Number Information
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NPI Number | 1801556790
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Entity Type | Individual
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Provider Name | THOMAS P HENNESSY MA
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Gender | Male
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 9000 E NICHOLS AVE STE 104
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City | CENTENNIAL
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State | CO
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Zip | 80112-3429
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Country | US
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Telephone | 700-996-1735
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GARDEN TER # 26A
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-6200
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Country | US
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Telephone | 732-610-1606
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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