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General NPI Number Information
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NPI Number | 1265822712
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Entity Type | Individual
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Provider Name | BETSY LEIBOWITZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 101 PLAZA REAL S STE A
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City | BOCA RATON
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State | FL
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Zip | 33432-4855
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Country | US
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Telephone | 866-641-2673
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Fax | 561-300-2118
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Provider Business Mailing Address
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Address Line | 5998 LAS COLINAS CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-6559
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Country | US
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Telephone | 786-385-8795
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9235983
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9235983
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License Number State | FL
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