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General NPI Number Information
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NPI Number | 1629669742
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Entity Type | Individual
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Provider Name | MATTHEW RYAN MILLER PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 105 S SPORTING HILL RD
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City | MECHANICSBURG
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State | PA
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Zip | 17050-3058
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Country | US
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Telephone | 717-763-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 450 REIGLE RD
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City | MARYSVILLE
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State | PA
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Zip | 17053-9744
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Country | US
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Telephone | 717-805-0370
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP441807
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License Number State | PA
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