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General NPI Number Information
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NPI Number | 1588181580
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Entity Type | Organization
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Legal Business Name | THE TANKERSLEY CLINIC, PLLC
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 1458 W POPLAR AVE STE 205
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City | COLLIERVILLE
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State | TN
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Zip | 38017-0631
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Country | US
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Telephone | 901-335-8966
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Fax | 901-244-2021
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Provider Business Mailing Address
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Address Line | 1458 W POPLAR AVE STE 205
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City | COLLIERVILLE
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State | TN
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Zip | 38017-0631
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Country | US
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Telephone | 901-335-8966
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Fax | 901-244-2021
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | DR. MICHAEL TANKERSLEY
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Credential | MD
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Telephone | 901-335-8966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RI0001X
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Taxonomy Name | Clinical & Laboratory Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2080I0007X
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Taxonomy Name | Pediatric Clinical & Laboratory Immunology Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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