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General NPI Number Information
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NPI Number | 1841127586
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Entity Type | Individual
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Provider Name | SARAH DITTBERNER ED.S
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Gender | Female
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 5621 COUNTY ROAD 101
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City | MINNETONKA
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State | MN
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Zip | 55345-4214
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Country | US
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Telephone | 651-402-5436
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Fax |
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Provider Business Mailing Address
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Address Line | 5621 COUNTY ROAD 101
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City | MINNETONKA
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State | MN
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Zip | 55345-4214
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 463874
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License Number State | MN
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