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General NPI Number Information
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NPI Number | 1174271597
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Entity Type | Organization
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Legal Business Name | THE QUAD CITIES REHABILITATION INSTITUTE, LLC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 653 52ND AVE
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City | MOLINE
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State | IL
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Zip | 61265-7058
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Country | US
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Telephone | 309-581-3600
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Fax | 309-581-3995
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Provider Business Mailing Address
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Address Line | 653 52ND AVE
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City | MOLINE
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State | IL
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Zip | 61265-7058
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Country | US
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Telephone | 309-581-3600
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Fax | 309-581-3995
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Authorized Official
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Title or Position | VICE PRESIDENT OF THE MANAGER
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Name | CAREY BENNETT MCRAE
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Credential |
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Telephone | 205-970-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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