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General NPI Number Information
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NPI Number | 1720806797
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC RIDING OF TRI-CITIES
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 104 E. 41ST PLACE
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City | KENNEWICK
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State | WA
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Zip | 99337
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Country | US
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Telephone | 509-412-0112
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 5108
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City | PASCO
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State | WA
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Zip | 99302
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Country | US
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Telephone | 509-412-0112
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ EXECUTIVE DIRECTOR
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Name | CYNTHIA MACFARLAN
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Credential | MS, CCC/SLP
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Telephone | 509-430-2215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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