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General NPI Number Information
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NPI Number | 1992662936
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Entity Type | Individual
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Provider Name | CORRENIA MARIE AUSTIN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 60 CARMEL RD S
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City | HAMPDEN
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State | ME
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Zip | 04444-3122
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Country | US
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Telephone | 207-460-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 203 WESTERN AVE APT 24
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City | HAMPDEN
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State | ME
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Zip | 04444-1431
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Country | US
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Telephone | 207-460-4300
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | ME
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