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General NPI Number Information
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NPI Number | 1124072319
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Entity Type | Individual
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Provider Name | CORRIN A STINE M.A.
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 01/27/2009
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Provider Practice Location Address
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Address Line | 440 S LINCOLN AVE SUITE B1
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8916
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Country | US
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Telephone | 970-879-4327
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Fax | 970-879-7783
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Provider Business Mailing Address
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Address Line | 440 S LINCOLN AVE SUITE B1
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8916
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Country | US
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Telephone | 970-879-4327
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Fax | 970-879-7783
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 227
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License Number State | CO
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