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General NPI Number Information
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NPI Number | 1457774861
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Entity Type | Individual
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Provider Name | CORRINE MAUND MD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 4301 WILLOW CREEK DR STE 100
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City | SPRINGDALE
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State | AR
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Zip | 72762-8711
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Country | US
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Telephone | 479-757-4048
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 78866
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City | MILWAUKEE
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State | WI
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Zip | 53278-8866
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Country | US
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Telephone | 779-696-7150
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MTL000360
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036147422
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E-18246
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License Number State | AR
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