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General NPI Number Information
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NPI Number | 1730365354
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Entity Type | Organization
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Legal Business Name | LIEBER PODIATRY ASSOCIATES PA
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 5130 LINTON BLVD SUITE I8
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6597
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Country | US
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Telephone | 561-495-0005
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Fax | 561-495-0366
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Provider Business Mailing Address
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Address Line | 5130 LINTON BLVD SUITE I8
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6597
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Country | US
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Telephone | 561-495-0005
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Fax | 561-495-0366
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY A LIEBER
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Credential | D.P.M.
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Telephone | 561-495-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO1448
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License Number State | FL
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