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General NPI Number Information
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NPI Number | 1710868658
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Entity Type | Individual
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Provider Name | KATIE MADDEN
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 14 FRANCES BELL DR
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City | BRIDGTON
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State | ME
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Zip | 04009-1278
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Country | US
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Telephone | 207-647-5675
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Fax |
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Provider Business Mailing Address
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Address Line | 131 BEAVER CREEK FARM RD
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City | BRIDGTON
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State | ME
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Zip | 04009-4151
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Country | US
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Telephone | 979-575-3297
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SAS4481
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License Number State | ME
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