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General NPI Number Information
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NPI Number | 1033105150
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Entity Type | Individual
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Provider Name | PAMELA JOYCE LARAYNE MILLER OD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 11370 ANDERSON ST STE 2025
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City | LOMA LINDA
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State | CA
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Zip | 92354-3450
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Country | US
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Telephone | 909-558-2112
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Fax | 909-558-2506
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Provider Business Mailing Address
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Address Line | 3295 VALENCIA AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-2418
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Country | US
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Telephone | 909-886-0244
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Fax | 603-816-9547
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5569TLG
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License Number State | CA
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