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General NPI Number Information
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NPI Number | 1306997762
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Entity Type | Individual
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Provider Name | BARBARA INA LIBERLES-SOFFER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 252 W 85TH ST SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10024-3244
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Country | US
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Telephone | 646-505-1680
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Fax | 201-871-4775
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Provider Business Mailing Address
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Address Line | 407 APRIL WAY
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-6510
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Country | US
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Telephone | 201-871-5896
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Fax | 201-871-4775
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC07605
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | NYSPR012108
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License Number State | NY
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