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General NPI Number Information
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NPI Number | 1801835590
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Entity Type | Individual
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Provider Name | BETH W. LIEBERMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 333 E 30TH ST LOBBY OFFICE
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City | NEW YORK
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State | NY
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Zip | 10016-6416
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Country | US
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Telephone | 212-689-4468
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Fax | 212-689-7605
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Provider Business Mailing Address
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Address Line | 2 LEGEND CT
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City | WEST HARRISON
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State | NY
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Zip | 10604-1617
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Country | US
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Telephone | 914-328-2527
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Fax | 212-689-7605
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 121256
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License Number State | NY
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