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General NPI Number Information
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NPI Number | 1124016506
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Entity Type | Individual
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Provider Name | DICK Y OKINO DPM
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 600 S FREDERICK AVE STE 304
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1277
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Country | US
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Telephone | 240-477-4428
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Fax | 306-663-0095
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Provider Business Mailing Address
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Address Line | 915 TOLL HOUSE AVE #207
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City | FREDERICK
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State | MD
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Zip | 21701-5930
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Country | US
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Telephone | 301-663-6861
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Fax | 306-663-0095
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 01414
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License Number State | MD
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