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General NPI Number Information
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NPI Number | 1891774642
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Entity Type | Individual
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Provider Name | CAROL B. LIEBERMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 2201 S OCEAN DR 1001
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2539
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Country | US
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Telephone | 305-968-4474
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 S. OCEAN DRIVE APT 1001
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City | HOLLYWOOD
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State | FL
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Zip | 33019
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Country | US
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Telephone | 305-968-4474
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP1185222
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License Number State | FL
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