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General NPI Number Information
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NPI Number | 1760289664
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Entity Type | Organization
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Legal Business Name | IN GOOD HANDS INCORPORATED
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 653 E MONROE AVE
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City | HARTFORD
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State | WI
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Zip | 53027-2510
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Country | US
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Telephone | 262-627-9218
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Fax |
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Provider Business Mailing Address
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Address Line | 653 E MONROE AVE
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City | HARTFORD
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State | WI
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Zip | 53027-2510
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Country | US
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Telephone | 262-627-9218
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | IESHA MARIE FLOYD-BARKLEY
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Credential |
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Telephone | 262-627-9218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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