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General NPI Number Information
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NPI Number | 1851090682
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Entity Type | Organization
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Legal Business Name | FULL ARMOR SUPPORTIVE CARE, LLC
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 150 RIVERSIDE PKWY STE 115 OFFICE #127
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-1094
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Country | US
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Telephone | 540-300-6281
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Fax |
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Provider Business Mailing Address
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Address Line | 150 RIVERSIDE PKWY STE 115
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-1094
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Country | US
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Telephone | 540-300-6281
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. ASIA L PHILLIPS
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Credential |
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Telephone | 540-300-6281
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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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