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General NPI Number Information
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NPI Number | 1669659413
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Entity Type | Organization
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Legal Business Name | TRI-CITY ANESTHESIA AND PAIN MANAGEMENT, PLLC
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 221 WELLSIAN WAY SUITE 102
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City | RICHLAND
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State | WA
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Zip | 99352-4120
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Country | US
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Telephone | 509-946-0900
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Fax | 509-946-8900
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Provider Business Mailing Address
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Address Line | 221 WELLSIAN WAY SUITE 102
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City | RICHLAND
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State | WA
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Zip | 99352-4120
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Country | US
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Telephone | 509-946-0900
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Fax | 509-946-8900
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | WEI QIU
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Credential | MD
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Telephone | 509-946-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State | WA
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