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General NPI Number Information
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NPI Number | 1336568138
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Entity Type | Individual
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Provider Name | OLAYINKA I AKEJU LPC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 129 RIVERWALK BLVD
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City | BURLINGTON TOWNSHIP
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State | NJ
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Zip | 08016
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Country | US
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Telephone | 609-699-6676
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 147
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City | BURLINGTON
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State | NJ
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Zip | 08016-0147
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Country | US
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Telephone | 609-699-6766
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NJ
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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 | 3PC00613100
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License Number State | NJ
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