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General NPI Number Information
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NPI Number | 1891294914
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Entity Type | Individual
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Provider Name | MICHELLE SUE WEARING FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/04/2018
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 422 N SAN JACINTO ST
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City | HEMET
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State | CA
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Zip | 92543-3124
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Country | US
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Telephone | 951-229-4352
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Fax | 951-229-4352
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Provider Business Mailing Address
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Address Line | 422 N SAN JACINTO ST
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City | HEMET
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State | CA
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Zip | 92543-3124
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Country | US
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Telephone | 951-229-4352
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Fax | 951-229-4352
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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 | 95008778
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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 | 263392
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 677424
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License Number State | CA
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