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General NPI Number Information
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NPI Number | 1588851562
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Entity Type | Organization
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Legal Business Name | BRIAN F LIEBERSBACH MD PHD PA
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1051 VANCE TRL
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City | THE VILLAGES
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State | FL
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Zip | 32162-8719
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Country | US
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Telephone | 352-561-4715
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Fax | 352-561-4376
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Provider Business Mailing Address
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Address Line | 1051 VANCE TRL
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City | THE VILLAGES
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State | FL
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Zip | 32162-8719
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Country | US
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Telephone | 352-561-4715
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Fax | 352-561-4376
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN F LIEBERSBACH
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Credential | MD
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Telephone | 352-561-4715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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