It used to be very difficult to withdraw cash from ATM's in Japan using non-Japanese cards, but this is no longer the case. Many ATM's - often located in small convienience stores - take debit cards with Maestro and/or Cirrus logos.
Further information can be found on the Japan Guide website: http://www.japan-guide.com/e/e2208.html
If taking cash I would recommend Yen and not US Dollars.
Senior Product Manager
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