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General NPI Number Information
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NPI Number | 1225882731
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Entity Type | Organization
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Legal Business Name | ROBYN RODENBURGH, INC.
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 142 BROOKERIDGE DR
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City | WATERLOO
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State | IA
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Zip | 50702-5702
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Country | US
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Telephone | 319-231-5871
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Fax | 888-981-5029
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Provider Business Mailing Address
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Address Line | 104 BROOKERIDGE DR # 186
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City | WATERLOO
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State | IA
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Zip | 50702-5702
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Country | US
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Telephone | 319-231-5871
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Fax | 888-981-5029
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Authorized Official
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Title or Position | OWNER
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Name | ROBYN RODENBURGH
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Credential | LMHC
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Telephone | 319-231-5871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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