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General NPI Number Information
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NPI Number | 1376119842
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Entity Type | Individual
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Provider Name | ALEXANDER WITTE
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Gender | Male
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1505 30TH AVE S
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City | MOORHEAD
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State | MN
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Zip | 56560-5149
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Country | US
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Telephone | 218-282-5299
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Fax | 218-287-5928
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Provider Business Mailing Address
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Address Line | 1547 30TH AVE S
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City | MOORHEAD
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State | MN
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Zip | 56560-5149
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Country | US
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Telephone | 218-287-4338
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Fax | 218-512-0643
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | MN
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