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General NPI Number Information
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NPI Number | 1336629526
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Entity Type | Individual
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Provider Name | ALICJA MONIKA CEBULAK PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1600 2ND AVE SW STE 19
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City | MINOT
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State | ND
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Zip | 58701-3459
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Country | US
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Telephone | 701-852-4605
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Fax | 701-852-4637
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | TURTLE LAKE
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State | ND
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Zip | 58575-0535
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Country | US
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Telephone | 701-448-2054
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R32651
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License Number State | ND
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