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General NPI Number Information
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NPI Number | 1184732109
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Entity Type | Individual
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Provider Name | BRIAN FRANCIS LIEBERSBACH MD PHD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1051 VANCE TRL
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City | THE VILLAGES
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State | FL
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Zip | 32162-8719
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Country | US
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Telephone | 352-561-4715
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Fax | 352-561-4376
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Provider Business Mailing Address
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Address Line | 1051 VANCE TRL
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City | THE VILLAGES
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State | FL
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Zip | 32162-8719
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Country | US
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Telephone | 352-561-4715
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Fax | 352-561-4376
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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 | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | ME82125
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME82125
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License Number State | FL
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