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General NPI Number Information
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NPI Number | 1841156528
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Entity Type | Individual
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Provider Name | MRS. BRITNY ALEXIS MIKULLA
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Gender | Female
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 140 MICHIGAN AVE W
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3602
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Country | US
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Telephone | 269-366-5406
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Fax | 269-344-0285
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Provider Business Mailing Address
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Address Line | 121 WANONDOGER TRL
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City | BATTLE CREEK
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State | MI
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Zip | 49017-8107
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Country | US
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Telephone | 269-366-5406
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Fax | 269-344-0285
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | MI
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