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General NPI Number Information
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NPI Number | 1649355470
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Entity Type | Individual
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Provider Name | ROBERT J LEDERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10 CENTER DRIVE ROOM 2C713 NATIONAL INSTITUTES OF HEALTH
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City | BETHESDA
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State | MD
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Zip | 20892-1538
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Country | US
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Telephone | 301-496-2563
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CENTER DRIVE ROOM 2C713 NATIONAL INSTITUTES OF HEALTH
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City | BETHESDA
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State | MD
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Zip | 20892-1538
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Country | US
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Telephone | 301-496-2563
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D56721
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | D56721
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Internal Medicine Physician
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License Number | D56721
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License Number State | MD
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