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General NPI Number Information
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NPI Number | 1033079736
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Entity Type | Individual
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Provider Name | MADISON MILLEKER
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Gender |
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 2400 47TH AVE S
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City | GRAND FORKS
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State | ND
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Zip | 58201-3405
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Country | US
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Telephone | 701-746-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 S 11TH ST APT 202
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City | GRAND FORKS
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State | ND
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Zip | 58201-7378
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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