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General NPI Number Information
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NPI Number | 1578735882
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Entity Type | Organization
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Legal Business Name | TRI CITIES MATERNAL FETAL MEDICINE PLLC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 969 STEVENS DR SUITE 3A
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City | RICHLAND
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State | WA
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Zip | 99352-3525
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Country | US
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Telephone | 509-946-8696
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Fax | 509-946-8646
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Provider Business Mailing Address
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Address Line | 969 STEVENS DR SUITE 3A
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City | RICHLAND
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State | WA
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Zip | 99352-3525
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Country | US
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Telephone | 509-946-8696
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Fax | 509-946-8646
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RICHARD B KATES
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Credential | M.D.
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Telephone | 509-946-8696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 00018037
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License Number State | WA
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