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General NPI Number Information
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NPI Number | 1750253787
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Entity Type | Individual
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Provider Name | MICAH AARONA MILLER
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Gender | Male
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 837 CALLAHAN DR
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City | BREMERTON
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State | WA
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Zip | 98310-3368
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Country | US
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Telephone | 360-240-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 14510 46TH AVENUE CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8030
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Country | US
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Telephone | 808-639-3888
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | CBT.CB.70033467
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License Number State | WA
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