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General NPI Number Information
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NPI Number | 1821035148
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Entity Type | Individual
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Provider Name | LAWRENCE IAN MILLER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1432 EASTON RD STE 4I
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City | WARRINGTON
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State | PA
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Zip | 18976-2852
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Country | US
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Telephone | 267-289-7284
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Fax | 267-289-7248
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Provider Business Mailing Address
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Address Line | 1432 EASTON RD STE 4I
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City | WARRINGTON
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State | PA
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Zip | 18976-2852
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Country | US
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Telephone | 267-289-7284
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Fax | 267-289-7248
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS-009548-L
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License Number State | PA
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