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General NPI Number Information
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NPI Number | 1295166080
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Entity Type | Individual
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Provider Name | YOSHIKO KINOSHITA LMT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2013
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 466 SOUTHERN BLVD, ADAMS BLDG, 1ST FLOOR C/O BODY MOKSHA PHYSICAL THERAPY
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City | CHATHAM
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State | NJ
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Zip | 07928
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Country | US
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Telephone | 973-552-8078
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 601
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-0601
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Country | US
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Telephone | 973-552-8078
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60412385
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA97459
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18KT01238600
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License Number State | NJ
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