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General NPI Number Information
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NPI Number | 1457360109
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Entity Type | Individual
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Provider Name | SANDY LIEBERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 1145 KANE CONCOURSE
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2012
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Country | US
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Telephone | 305-865-5439
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Fax | 305-866-5366
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Provider Business Mailing Address
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Address Line | 1145 KANE CONCOURSE
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City | BAY HARBOR ISLANDS
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State | FL
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Zip | 33154-2012
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Country | US
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Telephone | 305-865-5439
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Fax | 305-866-5366
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME69536
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License Number State | FL
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