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General NPI Number Information
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NPI Number | 1881515690
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Entity Type | Organization
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Legal Business Name | MONARCH CONCIERGE MD OF MARYLAND, LLC
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 18111 PRINCE PHILIP DR STE 200
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-774-7714
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Fax | 301-686-7164
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Provider Business Mailing Address
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Address Line | 18111 PRINCE PHILIP DR STE 200
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City | OLNEY
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State | MD
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Zip | 20832-1513
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Country | US
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Telephone | 301-774-7714
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Fax | 301-686-7164
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRANDON SHAW
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Credential | DO
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Telephone | 602-300-9699
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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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