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General NPI Number Information
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NPI Number | 1134228794
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Entity Type | Individual
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Provider Name | BRUCE ALEXANDER LIEF MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 2701 HOLME AVE SUITE 204
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City | PHILA
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State | PA
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Zip | 19152
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Country | US
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Telephone | 215-333-7293
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Fax | 215-333-7295
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Provider Business Mailing Address
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Address Line | 2010 ARMSTRONG COURT
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City | WAYNE
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State | PA
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Zip | 19087
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Country | US
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Telephone | 610-722-2999
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Fax | 215-333-7295
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD013324E
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License Number State | PA
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