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General NPI Number Information
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NPI Number | 1568569119
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Entity Type | Individual
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Provider Name | ELSA GABRIELLE ZAVODA O.T.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 201 LITTLETON RD STE 150
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2938
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Country | US
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Telephone | 973-627-0055
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Fax | 973-627-1622
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Provider Business Mailing Address
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Address Line | 201 LITTLETON RD STE 150
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2938
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Country | US
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Telephone | 973-627-0055
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Fax | 973-627-1622
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR0001000
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License Number State | NJ
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