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General NPI Number Information
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NPI Number | 1538986542
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Entity Type | Organization
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Legal Business Name | ACTIVE AIDCARE LLC
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Dates
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Enumeration Date | 09/21/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3330 BOURBON ST STE 116
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-7334
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Country | US
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Telephone | 703-789-7383
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 BOURBON ST STE 116
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-7334
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Country | US
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Telephone | 703-789-7383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SONIA SHARMA
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Credential |
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Telephone | 703-395-0416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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