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General NPI Number Information
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NPI Number | 1639044431
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Entity Type | Organization
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Legal Business Name | ESSENTIAL CARE CONNECT LLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 8684 CONNECTICUT ST STE 206A
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5580
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Country | US
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Telephone | 219-444-1825
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Fax |
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Provider Business Mailing Address
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Address Line | 8684 CONNECTICUT ST STE 206A
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5580
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Country | US
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Telephone | 219-444-1825
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LAKEYSHA PATRICE FREENY
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Credential | APRN, FNP-C
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Telephone | 219-306-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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