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General NPI Number Information
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NPI Number | 1740987247
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Entity Type | Individual
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Provider Name | MICHELE CHERIE HUTCHINSON FNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 11180 WARNER AVE # A380
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7501
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Country | US
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Telephone | 171-459-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 91 CLOUDCREST
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City | ALISO VIEJO
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State | CA
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Zip | 92656-1323
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Country | US
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Telephone | 801-319-8492
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95024038
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95024038
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License Number State | CA
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