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General NPI Number Information
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NPI Number | 1013150598
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Entity Type | Individual
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Provider Name | MICHAEL TINKEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 305 MCCASLIN BLVD STE 6
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City | LOUISVILLE
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State | CO
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Zip | 80027-2930
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Country | US
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Telephone | 303-926-4930
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Fax | 720-996-1410
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Provider Business Mailing Address
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Address Line | 305 MCCASLIN BLVD STE 6
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City | LOUISVILLE
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State | CO
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Zip | 80027-2930
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Country | US
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Telephone | 303-926-4930
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Fax | 209-961-4107
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR0006842
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License Number State | CO
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