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General NPI Number Information
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NPI Number | 1629482930
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Entity Type | Organization
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Legal Business Name | TINKER FAMILY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 12908 LEBANON RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-2865
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Country | US
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Telephone | 615-948-3790
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Fax |
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Provider Business Mailing Address
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Address Line | 12908 LEBANON RD
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City | MOUNT JULIET
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State | TN
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Zip | 37122-2865
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Country | US
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Telephone | 615-948-3790
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. BRITTANY TINKER
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Credential | D.C.
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Telephone | 615-948-3790
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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 | 2709
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License Number State | TN
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