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General NPI Number Information
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NPI Number | 1316230881
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Entity Type | Organization
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Legal Business Name | TATIANA LEIBU, M.D., PC
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 660 PELLIS RD SUITE 201
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City | GREENSBURG
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State | PA
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Zip | 15601-4633
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Country | US
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Telephone | 724-837-9066
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Fax | 724-837-9231
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Provider Business Mailing Address
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Address Line | 660 PELLIS RD SUITE 201
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City | GREENSBURG
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State | PA
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Zip | 15601-4633
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Country | US
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Telephone | 724-837-9066
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Fax | 724-837-9231
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Authorized Official
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Title or Position | OWNER
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Name | DR. TATIANA LEIBU
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Credential | M.D.
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Telephone | 724-837-9066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD058891L
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License Number State | PA
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