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General NPI Number Information
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NPI Number | 1982839106
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Entity Type | Individual
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Provider Name | AMANDA CECILIA AYALA MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 131 MADISON AVE STE 3
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7360
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Country | US
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Telephone | 973-326-9000
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Fax | 973-326-9001
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Provider Business Mailing Address
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Address Line | 131 MADISON AVE STE 3
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7360
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Country | US
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Telephone | 973-326-9000
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Fax | 973-326-9001
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD44453
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 266632-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | 4301104184
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | 25MA09985400
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License Number State | NJ
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