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General NPI Number Information
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NPI Number | 1609843796
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Entity Type | Individual
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Provider Name | NEIL K LIEBMAN DC,C.C.S.T.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 2123 BROWNING RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1910
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Country | US
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Telephone | 856-662-4455
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Fax | 856-662-5600
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Provider Business Mailing Address
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Address Line | 2123 BROWNING RD
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1910
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Country | US
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Telephone | 856-662-4455
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Fax | 856-662-5600
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00341200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC003513L
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License Number State | PA
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