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General NPI Number Information
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NPI Number | 1356095129
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Entity Type | Organization
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Legal Business Name | JUDAH ROBINSON FOUNDATION NFP
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 31 W DOWNER PL STE 304
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City | AURORA
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State | IL
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Zip | 60506-5112
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Country | US
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Telephone | 331-758-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 146 S LINCOLN AVE
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City | AURORA
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State | IL
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Zip | 60505-4236
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AMANDA RUBY GOLDMAN
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Credential | LCPC
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Telephone | 630-632-3522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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