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General NPI Number Information
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NPI Number | 1508745860
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Entity Type | Individual
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Provider Name | DAVID A. WITKOWSKI PHD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2025
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 1740 BELLE MEADE RD
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City | ENCINITAS
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State | CA
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Zip | 92024-4209
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Country | US
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Telephone | 760-815-8353
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 BELLE MEADE RD
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City | ENCINITAS
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State | CA
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Zip | 92024-4209
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Country | US
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Telephone | 760-815-8353
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State | ZZ
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | A-275992
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License Number State | ZZ
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