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General NPI Number Information
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NPI Number | 1801109210
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Entity Type | Individual
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Provider Name | ANTHONY GOTAY M,D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 475 HIGH MOUNTAIN RD
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City | NORTH HALEDON
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State | NJ
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Zip | 07508-2664
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Country | US
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Telephone | 201-575-8807
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Fax |
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Provider Business Mailing Address
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Address Line | 50 THURMONT RD
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City | DENVILLE
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State | NJ
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Zip | 07834-1913
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA09476600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 245124
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License Number State | MA
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