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General NPI Number Information
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NPI Number | 1992773758
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Entity Type | Individual
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Provider Name | MICHELLE LYNN PAGE FNP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 4094 4TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-2143
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Country | US
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Telephone | 619-515-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 942 EAST MARICOPA DR PO BOX 1504
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City | SPRINGERVILLE
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State | AZ
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Zip | 85938-1540
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Country | US
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Telephone | 928-655-4444
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2336953
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN566238
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License Number State | CA
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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 | CNP171180
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60911397
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP11518
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP0890
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License Number State | AZ
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