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General NPI Number Information
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NPI Number | 1902647050
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Entity Type | Organization
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Legal Business Name | HAND CLINIC OF TRI-CITIES PLLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 7401 W HOOD PL STE 200
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City | KENNEWICK
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State | WA
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Zip | 99336-3400
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Country | US
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Telephone | 509-737-7919
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 W HOOD PL STE 200
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City | KENNEWICK
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State | WA
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Zip | 99336-3400
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Country | US
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Telephone | 509-737-7919
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHERRI RENEE VADALA
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Credential |
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Telephone | 509-737-7919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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