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General NPI Number Information
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NPI Number | 1184605826
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Entity Type | Organization
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Legal Business Name | CLARINDA MENTAL HEALTH INSTITUTE
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 1800 N 16TH ST
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City | CLARINDA
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State | IA
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Zip | 51632-1165
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Country | US
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Telephone | 712-542-2161
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 N 16TH ST
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City | CLARINDA
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State | IA
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Zip | 51632-1165
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Country | US
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Telephone | 712-542-2161
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. MEREDITH K. BAKER
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Credential |
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Telephone | 712-542-2161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 730132H
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License Number State | IA
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