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General NPI Number Information
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NPI Number | 1306970835
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Entity Type | Individual
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Provider Name | VALERIE LIEBERT PCC
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 337 W 2ND ST
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City | PERRYSBURG
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State | OH
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Zip | 43551-1406
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Country | US
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Telephone | 419-309-7100
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Fax | 419-517-8460
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Provider Business Mailing Address
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Address Line | 337 W 2ND ST
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City | PERRYSBURG
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State | OH
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Zip | 43551-1406
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Country | US
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Telephone | 419-309-7100
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Fax | 419-517-8460
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E-2595-S
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License Number State | OH
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