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General NPI Number Information
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NPI Number | 1902739410
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Entity Type | Individual
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Provider Name | KYLE LIEBERMAN DMD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 9419 COMMON BROOK RD STE 210
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City | OWINGS MILLS
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State | MD
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Zip | 21117-7570
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Country | US
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Telephone | 443-394-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 806 N 15TH ST UNIT 2
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2201
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Country | US
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Telephone | 443-280-1924
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18680
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License Number State | MD
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