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General NPI Number Information
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NPI Number | 1316173925
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Entity Type | Individual
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Provider Name | ROBERT JAMES OLDT III M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-1044
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Country | US
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Telephone | 301-295-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone | 856-217-4083
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD475924
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License Number State | PA
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