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General NPI Number Information
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NPI Number | 1457365660
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Entity Type | Individual
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Provider Name | JEFFREY CRAIG LEDERMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 145 WYCKOFF RD STE 202A
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City | EATONTOWN
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State | NJ
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Zip | 07724-1878
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Country | US
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Telephone | 732-229-0509
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Fax | 732-571-0019
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Provider Business Mailing Address
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Address Line | 145 WYCKOFF RD STE 202A
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City | EATONTOWN
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State | NJ
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Zip | 07724-1878
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Country | US
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Telephone | 732-229-0509
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Fax | 732-571-0019
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MB073475
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License Number State | NJ
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