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General NPI Number Information
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NPI Number | 1124012042
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Entity Type | Individual
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Provider Name | JOEL AARON MICHELS F.N.P
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Gender | Male
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 10505 SE 17TH AVE SUITE 210
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City | MILWAUKIE
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State | OR
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Zip | 97222-7475
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Country | US
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Telephone | 503-467-1271
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Fax | 855-232-6902
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Provider Business Mailing Address
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Address Line | 10505 SE 17TH AVE
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City | MILWAUKIE
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State | OR
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Zip | 97222-7475
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Country | US
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Telephone | 503-467-1271
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Fax | 855-232-6902
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200850147NP
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License Number State | OR
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