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General NPI Number Information
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NPI Number | 1992645741
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Entity Type | Organization
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Legal Business Name | TMM MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 6102 HAMILTON WAY STE 101
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City | EASTAMPTON TOWNSHIP
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State | NJ
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Zip | 08060-1673
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Country | US
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Telephone | 484-515-6125
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Fax | 609-400-4888
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Provider Business Mailing Address
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Address Line | 6102 HAMILTON WAY STE 101
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City | EASTAMPTON TOWNSHIP
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State | NJ
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Zip | 08060-1673
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Country | US
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Telephone | 484-515-6125
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Fax | 609-400-4888
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Authorized Official
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Title or Position | CEO
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Name | SHANNON SHADMAN
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Credential |
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Telephone | 484-515-6125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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