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General NPI Number Information
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NPI Number | 1831716745
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Entity Type | Organization
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Legal Business Name | THE PROJECT OF THE QUAD CITIES
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 4101 JOHN DEERE ROAD SUITE #3
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City | MOLINE
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State | IL
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Zip | 61265
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Country | US
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Telephone | 309-581-2016
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Fax | 309-581-2855
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Provider Business Mailing Address
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Address Line | 1620 W. NORTHWEST HWY SUITE 100
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 817-572-0009
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Fax | 817-572-0221
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Authorized Official
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Title or Position | CEO
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Name | CAITLIN WELLS
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Credential |
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Telephone | 503-964-4036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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