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General NPI Number Information
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NPI Number | 1144843046
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Entity Type | Organization
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Legal Business Name | I TO I QUALITY CARE SERVICE, LLC
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 9401 W BELOIT RD STE 403
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City | MILWAUKEE
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State | WI
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Zip | 53227-4357
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Country | US
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Telephone | 414-949-6607
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Fax |
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Provider Business Mailing Address
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Address Line | 9401 W BELOIT RD STE 403
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City | MILWAUKEE
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State | WI
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Zip | 53227-4357
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Country | US
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Telephone | 414-949-6607
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | ITESHA HORTON
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Credential |
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Telephone | 414-949-6607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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