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General NPI Number Information
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NPI Number | 1396197091
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Entity Type | Organization
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Legal Business Name | KYOKO OKAMURA MD PC
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 1180 BEACON ST SUITE LLA
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City | BROOKLINE
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State | MA
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Zip | 02446-3885
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Country | US
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Telephone | 617-232-8888
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Fax | 617-232-2055
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Provider Business Mailing Address
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Address Line | 1180 BEACON ST SUITE LLA
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City | BROOKLINE
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State | MA
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Zip | 02446-3885
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KYOKO OKAMURA
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Credential | MD
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Telephone | 617-232-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 244234
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License Number State | MA
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