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General NPI Number Information
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NPI Number | 1770703084
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Entity Type | Organization
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Legal Business Name | TANQUE VERDE CHIROPRACTIC CLINIC P.C.
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9100 E TANQUE VERDE RD STE 140
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City | TUCSON
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State | AZ
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Zip | 85749-8173
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Country | US
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Telephone | 520-749-2929
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Fax | 520-749-8391
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Provider Business Mailing Address
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Address Line | 9100 E TANQUE VERDE RD STE 140
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City | TUCSON
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State | AZ
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Zip | 85749-8173
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Country | US
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Telephone | 520-749-2929
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Fax | 520-749-8391
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL JOSEPH STONE
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Credential | DC, DABCI
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Telephone | 520-749-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 4880
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 4880
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4880
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License Number State | AZ
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