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General NPI Number Information
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NPI Number | 1255057535
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Entity Type | Individual
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Provider Name | ROBERT JAMES LUDWIG JR. MS.ED
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Gender | Male
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 812 COMMERCIAL ST
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City | GRINNELL
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State | IA
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Zip | 50112-2143
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Country | US
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Telephone | 641-236-0273
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Fax | 641-236-7969
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Provider Business Mailing Address
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Address Line | 1703 HOBART ST
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City | GRINNELL
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State | IA
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Zip | 50112-1251
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Country | US
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Telephone | 641-990-9921
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 114858
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License Number State | IA
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