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General NPI Number Information
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NPI Number | 1659903177
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Entity Type | Individual
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Provider Name | EMMA LIEBER LP
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 244 5TH AVE FL 10
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City | NEW YORK
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State | NY
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Zip | 10001-7932
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Country | US
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Telephone | 718-873-5513
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Fax |
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Provider Business Mailing Address
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Address Line | 93 BALTIC ST APT 2
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City | BROOKLYN
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State | NY
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Zip | 11201-7273
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Country | US
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Telephone | 718-873-5513
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 001066
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License Number State | NY
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