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General NPI Number Information
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NPI Number | 1730373739
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Entity Type | Individual
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Provider Name | STEVEN S. LIEBERMAN LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/02/2007
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 1880 E 27TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-2531
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Country | US
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Telephone | 866-458-8166
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Fax |
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Provider Business Mailing Address
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Address Line | 323 SUMMIT RD
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City | ELIZABETH
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State | NJ
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Zip | 07208-1148
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Country | US
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Telephone | 718-376-2505
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Fax | 718-228-3805
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R056021-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05274400
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License Number State | NJ
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