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General NPI Number Information
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NPI Number | 1700966124
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Entity Type | Individual
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Provider Name | ABBY REICH
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 927 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62301-2719
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Country | US
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Telephone | 217-214-3801
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Fax | 217-223-0561
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Provider Business Mailing Address
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Address Line | 1005 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62301-2834
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Country | US
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Telephone | 217-223-8914
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Fax | 217-223-0561
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-108180
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036-108180
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License Number State | IL
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