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General NPI Number Information
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NPI Number | 1346353687
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Entity Type | Individual
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Provider Name | KARL F LIEBERMANN D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 112 MAIN ST STE 104
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2388
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Country | US
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Telephone | 508-691-6086
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Fax | 508-691-6089
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Provider Business Mailing Address
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Address Line | 112 MAIN ST STE 104
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2388
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Country | US
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Telephone | 508-691-6086
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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 | 249400
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1858
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 249400
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 249400
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License Number State | MA
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