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General NPI Number Information
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NPI Number | 1104032911
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Entity Type | Organization
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Legal Business Name | LAWRENCE R MILLER MD A PROFESSIONAL CORP
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 8500 WILSHIRE BLVD STE 1018
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3108
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Country | US
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Telephone | 310-747-7246
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Fax | 310-439-7246
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Provider Business Mailing Address
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Address Line | 8500 WILSHIRE BLVD STE 1018
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3108
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Country | US
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Telephone | 310-747-7246
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Fax | 310-439-7246
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE ROSS MILLER
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Credential |
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Telephone | 310-747-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | G59739
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G59739
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G59739
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G59739
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License Number State | CA
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