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General NPI Number Information
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NPI Number | 1912952961
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Entity Type | Organization
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Legal Business Name | CLARINDA ADULT PSYCH HOSP
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 09/11/2025
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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 | 712-542-6150
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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 |
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Fax |
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Authorized Official
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Title or Position | BUSINESS MGR
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Name | RANDY BENGARD
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Credential |
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Telephone | 712-542-6107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 784
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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