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General NPI Number Information
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NPI Number | 1992045157
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Entity Type | Organization
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Legal Business Name | IRA LIEBROSS, MD
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 32 CHURCH ST
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1786
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Country | US
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Telephone | 908-782-0722
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Fax |
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Provider Business Mailing Address
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Address Line | 32 CHURCH ST STE 110
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1786
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Country | US
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Telephone | 908-782-0722
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Fax |
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Authorized Official
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Title or Position | MD
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Name | IRA LIEBROSS
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Credential |
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Telephone | 908-782-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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