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General NPI Number Information
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NPI Number | 1558670265
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Entity Type | Individual
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Provider Name | KEN KOBAYASHI MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 1412 SE 7TH PL
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City | LEES SUMMIT
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State | MO
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Zip | 64063-8509
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Country | US
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Telephone | 816-347-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 SE 7TH PL
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City | LEES SUMMIT
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State | MO
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Zip | 64063-8509
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Country | US
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Telephone | 816-347-0526
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | D0051342
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License Number State | MD
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