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It is still used in the Japanese addressing system to identify the location of towns or villages. Cities, unlike counties in the US, belong directly to prefectures.
Becase district names had been unique in the province and nowadays prefecture boundaries are roughly aligned to province boundaries, most district names are unique in the prefecture. However, the Hokkaido Prefecture, consisting of eleven provincess, involves a few confusing cases.
There are three Kamikawa Districts and two Nakagawa Districts in the Hokkaido Prefecture.
Confusing cases in Hokkaido
Abuta Disctrict, Rumoi District, Sorachi Disctrict, and Yufutsu Disctrict are deceptively similar, but each of them is a single district allotted to two subprefectures.