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General NPI Number Information
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NPI Number | 1932017209
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Entity Type | Individual
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Provider Name | MYA MICHELLE WELLS
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 8281 WALKER ST
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City | LA PALMA
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State | CA
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Zip | 90623-2196
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Country | US
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Telephone | 410-280-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 501 N CRESCENT WAY
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City | ANAHEIM
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State | CA
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Zip | 92801-5401
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Country | US
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Telephone | 714-999-3511
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Fax | 714-535-1706
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22333
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License Number State | CA
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