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General NPI Number Information
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NPI Number | 1033394523
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Entity Type | Organization
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Legal Business Name | DANIEL LIBERMAN DDS
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 23501 CINEMA DR STE 112
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City | SANTA CLARITA
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State | CA
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Zip | 91355-5429
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Country | US
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Telephone | 661-290-3355
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Fax | 661-290-2333
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Provider Business Mailing Address
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Address Line | 23501 CINEMA DR STE 112
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City | SANTA CLARITA
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State | CA
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Zip | 91355-5429
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Country | US
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Telephone | 661-290-3355
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Fax | 661-290-2333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL LIBERMAN
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Credential | DDS
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Telephone | 661-290-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31309
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License Number State | CA
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