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General NPI Number Information
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NPI Number | 1750183141
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Entity Type | Individual
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Provider Name | ADALILA K WILSON CMHC-LP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 173 HUGUENOT ST STE 200
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7710
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Country | US
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Telephone | 914-246-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 10 NEWBURGH ST
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City | ELMONT
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State | NY
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Zip | 11003-4922
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Country | US
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Telephone | 646-261-0260
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Fax | 646-261-0260
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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 | P132362
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License Number State | NY
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