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General NPI Number Information
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NPI Number | 1285687087
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Entity Type | Organization
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Legal Business Name | NECK TO BACK QUAD CITIES LLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2001 52ND AVE
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City | MOLINE
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State | IL
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Zip | 61265-6368
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Country | US
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Telephone | 309-736-9317
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Fax | 309-736-9573
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Provider Business Mailing Address
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Address Line | 7177 CRIMSON RIDGE DR SUITE 14
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City | ROCKFORD
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State | IL
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Zip | 61107-6208
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Country | US
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Telephone | 815-227-9900
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Fax | 815-227-9805
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Authorized Official
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Title or Position | COMPTROLLER
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Name | MRS. WENDY NEWMAN
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Credential |
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Telephone | 815-227-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | IL
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