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General NPI Number Information
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NPI Number | 1083918163
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Entity Type | Individual
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Provider Name | OKECHUKWU JUDE OKEKE M.D
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Gender | Male
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 3150 HORIZON RD
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City | ROCKWALL
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State | TX
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Zip | 75032-7805
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Country | US
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Telephone | 214-343-6663
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Fax | 214-343-2814
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Provider Business Mailing Address
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Address Line | 3001 GEORGE BUSH HWY STE 225
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City | RICHARDSON
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State | TX
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Zip | 75082-3569
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Country | US
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Telephone | 214-343-6663
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Fax | 214-343-2814
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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 | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number | 29022
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01092869A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036138189
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 29022
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 68919
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number | 125.058976
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number | 68919
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01092869A
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License Number State | IN
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Taxonomy #9
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | S8222
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License Number State | TX
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