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General NPI Number Information
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NPI Number | 1285514919
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Entity Type | Individual
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Provider Name | MR. WISDOM AFANGIDE LAWAL SR.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 27 COVINGTON DR
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-3046
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Country | US
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Telephone | 973-858-4669
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 BLACK HORSE PIKE UNIT 530
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-1755
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Country | US
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Telephone | 973-858-4669
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | NJ
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