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General NPI Number Information
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NPI Number | 1730203670
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Entity Type | Individual
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Provider Name | MICHAEL DOMINICK ZITO PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 51 SOUTH ST STE 1
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City | MORRISTOWN
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State | NJ
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Zip | 07960-8107
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Country | US
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Telephone | 973-539-5600
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Fax | 908-757-2911
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Provider Business Mailing Address
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Address Line | 776 MOUNTAIN BLVD STE 102
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City | WATCHUNG
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State | NJ
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Zip | 07069-6269
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Country | US
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Telephone | 908-753-8696
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Fax | 908-757-2911
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 35SI00359900
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License Number State | NJ
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