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NPI 1225957889

NPI 1225957889 : TINA MARIE BAYNE HIS : AUBURN, ME

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General NPI Number Information
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    NPI Number           |    1225957889
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    Entity Type          |    Individual 
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    Provider Name        |    TINA MARIE BAYNE HIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/15/2026
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    Last Update Date     |    07/15/2026
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Provider Practice Location Address
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    Address Line         |    600 TURNER ST STE 3 
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    City                 |    AUBURN
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    State                |    ME
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    Zip                  |    04210-5093
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    Country              |    US
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    Telephone            |    207-784-0333
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    Fax                  |    207-560-9170
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Provider Business Mailing Address
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    Address Line         |    600 TURNER ST STE 3 
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    City                 |    AUBURN
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    State                |    ME
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    Zip                  |    04210-5093
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    Country              |    US
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    Telephone            |    207-784-0333
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    Fax                  |    207-560-9170
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    DL516
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    License Number State |    ME
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