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General NPI Number Information
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NPI Number | 1316898950
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Entity Type | Individual
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Provider Name | MICHELLE WATERS
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 41421 DATE ST
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City | MURRIETA
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State | CA
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Zip | 92562-7018
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Country | US
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Telephone | 855-454-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 30523 RIDGELY WAY
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City | MENIFEE
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State | CA
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Zip | 92584-6854
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Country | US
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Telephone |
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 28506
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License Number State | CA
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