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General NPI Number Information
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NPI Number | 1811710510
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Entity Type | Individual
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Provider Name | JOSEPH ALADEGBEMI
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Gender | Male
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 9708 SKILLMAN ST
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City | DALLAS
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State | TX
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Zip | 75243-5150
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Country | US
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Telephone | 214-221-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 540 EMBARGO DR
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City | FATE
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State | TX
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Zip | 75189-8840
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Country | US
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Telephone | 347-624-0920
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 94412
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License Number State | TX
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