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General NPI Number Information
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NPI Number | 1467267526
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Entity Type | Individual
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Provider Name | ABIGAIL ELIZABETH LIEBER
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 112 SILO CT
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 37105 DEER RUN
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City | SOLON
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State | OH
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Zip | 44139-2503
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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