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General NPI Number Information
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NPI Number | 1306907894
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Entity Type | Organization
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Legal Business Name | CLARK COUNTY AUDITOR
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1201 WALL STREET
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3887
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Country | US
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Telephone | 812-282-7521
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Fax | 812-288-2711
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Provider Business Mailing Address
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Address Line | 1201 WALL STREET
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3887
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Country | US
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Telephone | 812-282-7521
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Fax | 812-288-2711
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DOUGLAS JOHN BENTFIELD III
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Credential |
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Telephone | 812-282-7521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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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 | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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