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General NPI Number Information
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NPI Number | 1467314476
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Entity Type | Organization
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Legal Business Name | ESSENCE HEALTH LLC
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Dates
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Enumeration Date | 11/27/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 11133 SHADY TRL
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City | DALLAS
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State | TX
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Zip | 75229-4617
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Country | US
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Telephone | 224-224-5512
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Fax | 240-391-1040
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Provider Business Mailing Address
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Address Line | 11133 SHADY TRL
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City | DALLAS
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State | TX
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Zip | 75229-4617
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Country | US
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Telephone | 224-224-5512
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Fax | 240-391-1040
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RENA L MILLER
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Credential | PHD
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Telephone | 224-224-5512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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