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General NPI Number Information
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NPI Number | 1639447899
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Entity Type | Individual
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Provider Name | KAZUYA KUROKAWA PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 469 CENTERVILLE RD #106
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City | WARWICK
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State | RI
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Zip | 02886-4354
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Country | US
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Telephone | 401-739-1732
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Fax |
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Provider Business Mailing Address
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Address Line | 500 ANGELL ST APT 101
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City | PROVIDENCE
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State | RI
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Zip | 02906-4457
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Country | US
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Telephone | 401-575-7700
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH05011
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH233819
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License Number State | MA
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