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General NPI Number Information
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NPI Number | 1881826311
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Entity Type | Individual
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Provider Name | DR. EMMANUEL AYODELE OKE JR.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 22101 MOROSS RD
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City | DETROIT
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State | MI
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Zip | 48236-2148
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Country | US
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Telephone | 347-697-6139
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 W BELVEDERE AVENUE
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City | BALTIMORE
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State | MD
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Zip | 21215-2148
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Country | US
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Telephone | 410-601-6215
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R6644
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | DO75677
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License Number State | MD
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