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NPI 1255742631

NPI 1255742631 : MIKA JULIA FUJII M.D. : KOKOMO, IN

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General NPI Number Information
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    NPI Number           |    1255742631
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    Entity Type          |    Individual 
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    Provider Name        |    MIKA JULIA FUJII M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2014
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    Last Update Date     |    10/29/2020
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Provider Practice Location Address
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    Address Line         |    2016 S ELIZABETH ST 
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    City                 |    KOKOMO
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    State                |    IN
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    Zip                  |    46902-2430
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    Country              |    US
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    Telephone            |    765-450-4776
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    Fax                  |    765-450-6097
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Provider Business Mailing Address
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    Address Line         |    2016 S ELIZABETH ST 
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    City                 |    KOKOMO
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    State                |    IN
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    Zip                  |    46902-2430
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    Country              |    US
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    Telephone            |    765-450-4776
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    Fax                  |    765-450-6097
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    01045921A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    01045921A
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    License Number State |    IN
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