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General NPI Number Information
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NPI Number | 1750291720
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Entity Type | Individual
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Provider Name | MIKAYLA WITTER SOCIAL WORKER
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 991 125TH AVE NE
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City | BLAINE
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State | MN
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Zip | 55434-3141
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Country | US
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Telephone | 763-506-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 N FERRY ST
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City | ANOKA
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State | MN
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Zip | 55303-1650
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Country | US
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Telephone | 763-506-1000
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 36576
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License Number State | MN
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