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General NPI Number Information
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NPI Number | 1336103795
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Entity Type | Organization
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Legal Business Name | QUAD CITIES PATHOLOGISTS, LLC
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 1520 7TH STREET
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City | MOLINE
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State | IL
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Zip | 61265-2917
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Country | US
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Telephone | 309-762-8555
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Fax | 563-326-0115
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Provider Business Mailing Address
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Address Line | 1520 7TH AVE
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City | MOLINE
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State | IL
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Zip | 61265-2917
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Country | US
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Telephone | 309-762-8555
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Fax | 563-326-0115
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JAMES K BILLMAN JR.
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Credential | MD
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Telephone | 309-762-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 14D1019160
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License Number State |
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