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General NPI Number Information
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NPI Number | 1215020144
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Entity Type | Organization
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Legal Business Name | TRI-CITY ORTHOPAEDIC CLINIC, P S C
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 6703 W RIO GRANDE AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-2623
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Country | US
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Telephone | 509-460-5588
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Fax | 509-783-5438
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Provider Business Mailing Address
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Address Line | 6703 W RIO GRANDE AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-2623
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Country | US
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Telephone | 509-460-5588
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Fax | 509-783-5438
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Authorized Official
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Title or Position | COO
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Name | ZACHARY LITKE
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Credential |
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Telephone | 509-460-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | OP60232831
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | OP60220440
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | MD60261135
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #6
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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 |
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | WA
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