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General NPI Number Information
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NPI Number | 1881556728
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Entity Type | Organization
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Legal Business Name | JIM JUDKINS LISW LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 302 3RD ST
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City | MELBOURNE
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State | IA
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Zip | 50162-7722
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Country | US
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Telephone | 641-485-2914
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Fax | 641-505-2680
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Provider Business Mailing Address
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Address Line | 302 3RD ST
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City | MELBOURNE
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State | IA
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Zip | 50162-7722
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Country | US
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Telephone | 641-485-2914
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Fax | 641-505-2680
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MR. JAMES EVERETT JUDKINS
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Credential | LISW
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Telephone | 641-485-2914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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