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General NPI Number Information
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NPI Number | 1932657459
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Entity Type | Organization
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Legal Business Name | DUTCH MILL CORPORATION
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 512 8TH ST SE
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City | ORANGE CITY
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State | IA
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Zip | 51041-1984
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Country | US
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Telephone | 712-737-4919
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Fax | 712-737-4969
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Provider Business Mailing Address
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Address Line | 512 8TH ST SE
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City | ORANGE CITY
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State | IA
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Zip | 51041-1984
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Country | US
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Telephone | 712-737-4919
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Fax | 712-737-4969
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Authorized Official
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Title or Position | PHARMACIST
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Name | BRENT PLENDER
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Credential |
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Telephone | 712-737-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1581
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License Number State | IA
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