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General NPI Number Information
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NPI Number | 1003359852
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Entity Type | Individual
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Provider Name | MARIBETH LIEBERTH M.A. L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 900 MULL AVE
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City | AKRON
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State | OH
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Zip | 44313-7502
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Country | US
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Telephone | 800-621-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 11558 PEACH GLEN AVE NW
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City | UNIONTOWN
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State | OH
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Zip | 44685-8602
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Country | US
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Telephone | 330-618-4154
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C0700917
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License Number State | OH
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