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General NPI Number Information
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NPI Number | 1841067006
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Entity Type | Organization
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Legal Business Name | EXPERT INFECTIOUS DISEASES CONSULTING SERVICES, PLLC
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Dates
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Enumeration Date | 12/07/2023
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 3329 E BAYAUD AVE
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City | DENVER
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State | CO
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Zip | 80209
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Country | US
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Telephone | 719-470-2766
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Fax |
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Provider Business Mailing Address
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Address Line | 6510-A S ACADEMY BLVD # 103
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-8691
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Country | US
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Telephone | 719-470-2766
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN LIEBERMAN
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Credential | MD
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Telephone | 719-470-2766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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