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General NPI Number Information
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NPI Number | 1932142023
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Entity Type | Individual
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Provider Name | JOE OZAKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 2302 S JUNIPER WAY
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City | LAKEWOOD
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State | CO
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Zip | 80228-6455
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Country | US
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Telephone | 720-280-4916
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Fax | 720-389-8014
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Provider Business Mailing Address
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Address Line | 2302 S JUNIPER WAY
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City | LAKEWOOD
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State | CO
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Zip | 80228-6455
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Country | US
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Telephone | 720-280-4916
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Fax | 720-389-8014
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | TD061026
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 16535
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License Number State | CO
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