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General NPI Number Information
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NPI Number | 1508675703
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Entity Type | Organization
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Legal Business Name | TCPH PLLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 245 TORBETT ST
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City | RICHLAND
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State | WA
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Zip | 99354-2667
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Country | US
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Telephone | 509-969-9067
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Fax |
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Provider Business Mailing Address
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Address Line | 103 CULLUM AVE
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City | RICHLAND
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State | WA
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Zip | 99352-4532
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACKI GILPIN
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Credential |
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Telephone | 509-969-9067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 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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