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General NPI Number Information
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NPI Number | 1477880151
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Entity Type | Individual
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Provider Name | AARON MIKKELSON MILLER N.P.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 717 7TH ST
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City | DAVIS
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State | CA
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Zip | 95616-3708
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Country | US
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Telephone | 707-243-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 2 KORET WAY N 511Q
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2218
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Country | US
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Telephone | 808-277-9535
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 19609
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License Number State | CA
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