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General NPI Number Information
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NPI Number | 1427940469
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Entity Type | Individual
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Provider Name | RYAN P MILLER AMFT
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Gender | Male
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 972 MISSION ST FL 3
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2992
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Country | US
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Telephone | 415-504-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 248 3RD ST # 5093
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City | OAKLAND
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State | CA
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Zip | 94607-4375
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Country | US
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Telephone | 510-415-2593
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 154094
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License Number State | CA
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