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General NPI Number Information
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NPI Number | 1568858843
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Entity Type | Individual
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Provider Name | HARIPRIYA AYYALA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE STE 295
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 201-449-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S ORANGE AVE STE 295
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 201-449-1000
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MA10902600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 72092
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 25MA10902600
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 308643
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License Number State | NY
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