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General NPI Number Information
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NPI Number | 1114321114
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Entity Type | Individual
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Provider Name | MANUELLA LALWANI MCCP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 1930 MARLTON PIKE E BLDG Q
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-751-4127
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Fax | 888-745-4079
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Provider Business Mailing Address
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Address Line | 1930 MARLTON PIKE E BLDG Q
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2150
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Country | US
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Telephone | 856-751-4127
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Fax | 888-745-4079
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC014320P
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 | 37PC00806300
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License Number State | NJ
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