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General NPI Number Information
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NPI Number | 1699891564
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Entity Type | Organization
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Legal Business Name | RICHARD M LIEBERMAN, MD, PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1259 S CEDAR CREST BLVD 235
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City | ALLENTOWN
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State | PA
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Zip | 18103-6372
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Country | US
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Telephone | 610-770-9700
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Fax | 610-770-1791
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Provider Business Mailing Address
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Address Line | 1259 S CEDAR CREST BLVD 235
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City | ALLENTOWN
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State | PA
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Zip | 18103-6372
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Country | US
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Telephone | 610-770-9700
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Fax | 610-770-1791
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RICHARD MICHAEL LIEBERMAN
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Credential | MD
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Telephone | 610-770-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | MD030973E
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License Number State | PA
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