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General NPI Number Information
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NPI Number | 1285015099
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Entity Type | Individual
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Provider Name | MAYYA GORBAL D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 348 E CEDAR ST
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4221
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Country | US
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Telephone | 347-522-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 16 WASHINGTON ST
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2517
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Country | US
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Telephone | 347-522-3320
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 295999
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MB10968600
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License Number State | NJ
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