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General NPI Number Information
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NPI Number | 1912178989
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Entity Type | Organization
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Legal Business Name | ROBERT J LEON M D P C
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 129 WASHINGTON ST SUITE 401
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City | HOBOKEN
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State | NJ
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Zip | 07030-4657
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Country | US
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Telephone | 201-610-1535
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Fax | 201-610-1578
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Provider Business Mailing Address
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Address Line | 129 WASHINGTON ST SUITE 401
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City | HOBOKEN
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State | NJ
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Zip | 07030-4657
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Country | US
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Telephone | 201-610-1535
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Fax | 201-610-1578
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JOHN LEON
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Credential | MD
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Telephone | 201-610-1535
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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 | 65906
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License Number State | NJ
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