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General NPI Number Information
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NPI Number | 1801745062
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Entity Type | Organization
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Legal Business Name | KATAHDIN VALLEY HEALTH CENTER
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 728 MAIN ST
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City | CORINTH
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State | ME
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Zip | 04427-3646
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Country | US
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Telephone | 207-538-3700
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Fax | 207-528-2880
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Provider Business Mailing Address
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Address Line | 529 S PATTEN RD
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City | PATTEN
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State | ME
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Zip | 04765-3007
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Country | US
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Telephone | 207-538-3700
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Fax | 207-528-2880
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CHARITY J RUDGE
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Credential |
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Telephone | 207-538-3701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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