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NPI 1629394572

NPI 1629394572 : TOSHIKO OIKAWA LUCKOW M.D. : EVERETT, WA

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General NPI Number Information
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    NPI Number           |    1629394572
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    Entity Type          |    Individual 
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    Provider Name        |    TOSHIKO OIKAWA LUCKOW M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2010
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    3927 RUCKER AVE 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-4833
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    Country              |    US
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    Telephone            |    425-339-5422
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    Fax                  |    425-303-3053
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5127 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98206-5127
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    Country              |    US
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    Telephone            |    206-860-5414
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    Fax                  |    206-720-8462
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    MD61217313
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    License Number State |    WA
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