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General NPI Number Information
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NPI Number | 1316180680
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Entity Type | Organization
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Legal Business Name | TRI-CITY HEART CENTRE, INC
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 750 SWIFT BLVD SUITE 13
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City | RICHLAND
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State | WA
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Zip | 99352-3521
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Country | US
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Telephone | 509-946-7609
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Fax | 509-943-5181
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Provider Business Mailing Address
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Address Line | 750 SWIFT BLVD SUITE 13
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City | RICHLAND
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State | WA
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Zip | 99352-3521
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Country | US
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Telephone | 509-946-7609
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Fax | 509-943-5181
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WENDELL E ROBINSON
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Credential | MD
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Telephone | 509-946-7609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD00011542
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License Number State | WA
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