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General NPI Number Information
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NPI Number | 1679190359
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Entity Type | Organization
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Legal Business Name | FULL ARMOR HOME HEALTHCARE
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 1287 JIM DR
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City | SYCAMORE
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State | IL
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Zip | 60178-9513
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Country | US
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Telephone | 815-797-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 1287 JIM DR
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City | SYCAMORE
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State | IL
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Zip | 60178-9513
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Country | US
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Telephone | 815-797-2255
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/CEO
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Name | ADRIAN ESPINOSA
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Credential | PT, DPT
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Telephone | 815-797-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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