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General NPI Number Information
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NPI Number | 1114061736
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Entity Type | Organization
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Legal Business Name | LAURA LIEBERMAN MD PA
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 332 140 VILLAGE ROAD SUITE 1
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City | WESTMINSTER
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State | MD
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Zip | 21157-6196
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Country | US
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Telephone | 410-876-9680
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Fax | 410-386-0876
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Provider Business Mailing Address
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Address Line | 332 140 VILLAGE ROAD SUITE 1
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City | WESTMINSTER
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State | MD
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Zip | 21157-6196
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Country | US
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Telephone | 410-876-9680
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Fax | 410-386-0876
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEUN HEE OH
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Credential | MD
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Telephone | 410-876-9680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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