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Individual
YUTA HARADA
Active
Individual
YUTA HARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01905700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01905700
NJ LICENSE
NJ
Enumeration date
12/10/2019
Last updated
12/10/2019
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