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General NPI Number Information
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NPI Number | 1366244402
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Entity Type | Individual
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Provider Name | YUVRAJ RAJA
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Gender | Male
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 09/07/2025
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Provider Practice Location Address
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Address Line | 1 CLARA MAASS DR
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3550
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Country | US
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Telephone | 973-450-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 437 WASHINGTON AVE
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City | NUTLEY
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State | NJ
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Zip | 07110-3608
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Country | US
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Telephone | 973-618-6560
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00942200
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License Number State | NJ
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