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General NPI Number Information
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NPI Number | 1053842567
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Entity Type | Individual
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Provider Name | TAIKI KOJIMA M.B.B.S
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Gender | Male
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Dates
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Enumeration Date | 03/26/2017
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Last Update Date | 03/26/2017
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 250 E WYNNEWOOD RD APT A13
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City | WYNNEWOOD
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State | PA
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Zip | 19096-1559
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Country | US
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Telephone | 484-788-4399
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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 | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State |
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