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General NPI Number Information
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NPI Number | 1528823671
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Entity Type | Organization
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Legal Business Name | ESSENTIAL MEDICAL EXPRESS LLC
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 9001
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 463-210-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 WALLACE LAKE RD
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City | PACE
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State | FL
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Zip | 32571-9172
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Country | US
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Telephone | 463-210-4000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VONDA D KELLER
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Credential |
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Telephone | 463-210-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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