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General NPI Number Information
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NPI Number | 1952486128
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Entity Type | Individual
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Provider Name | MARA ZOTTA PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 145 N FRANKLIN TPKE STE 324
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City | RAMSEY
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State | NJ
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Zip | 07446-1601
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Country | US
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Telephone | 551-206-9368
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Fax |
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Provider Business Mailing Address
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Address Line | 128 VILLAGE CIR W
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City | PARAMUS
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State | NJ
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Zip | 07652-5322
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Country | US
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Telephone | 551-206-9368
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 016846-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00530200
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License Number State | NJ
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