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General NPI Number Information
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NPI Number | 1669418745
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Entity Type | Individual
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Provider Name | MARK LIEBREICH MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 657 HEACOCK RD
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City | YARDLEY
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State | PA
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Zip | 19067-6338
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Country | US
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Telephone | 215-750-7150
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Fax | 215-701-0913
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR SUITE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 215-946-1500
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Fax | 215-946-3417
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD044551E
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License Number State | PA
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