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General NPI Number Information
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NPI Number | 1801518592
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Entity Type | Organization
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Legal Business Name | ESSE HEALTH HEAL AT HOME LLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 13303 TESSON FERRY RD STE 125
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City | SAINT LOUIS
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State | MO
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Zip | 63128-4076
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Country | US
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Telephone | 314-394-7444
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Fax | 314-627-8957
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Provider Business Mailing Address
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Address Line | 13303 TESSON FERRY RD STE 125
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City | SAINT LOUIS
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State | MO
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Zip | 63128-4076
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Country | US
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Telephone | 314-394-7444
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Fax | 314-627-8957
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Authorized Official
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Title or Position | CEO
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Name | DAVID KEARNEY
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Credential |
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Telephone | 314-851-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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