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General NPI Number Information
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NPI Number | 1093941585
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Entity Type | Individual
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Provider Name | OLASUBOMI O ADEBANJO-ONAPEJU LPC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 8111 LBJ FWY
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City | DALLAS
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State | TX
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Zip | 75251-1313
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Country | US
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Telephone | 469-998-0046
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 LBJ FWY
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City | DALLAS
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State | TX
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Zip | 75251-1313
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Country | US
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Telephone | 469-570-0170
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8489
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | P-703
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 69522
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License Number State | TX
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