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General NPI Number Information
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NPI Number | 1962697250
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Entity Type | Individual
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Provider Name | MARTIN NNAEMEKA OKPALIKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 2888 N MONROE ST
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City | DECATUR
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State | IL
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Zip | 62526-3269
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Country | US
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Telephone | 217-876-8000
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Fax | 855-347-8363
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Provider Business Mailing Address
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Address Line | 310 N COUNTRY CLUB CT
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City | DECATUR
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State | IL
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Zip | 62521-2567
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Country | US
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Telephone | 217-876-3161
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036120153
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License Number State | IL
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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 | 2014-00844
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License Number State | NC
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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 | 25MA08308100
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License Number State | NJ
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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 | 01064107A
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License Number State | IN
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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 | 036120153
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 01064107A
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License Number State | IN
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