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General NPI Number Information
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NPI Number | 1033164231
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Entity Type | Individual
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Provider Name | JESSICA M. VAUGHT MD
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 21 W COLUMBIA ST
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City | ORLANDO
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State | FL
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Zip | 32806-1133
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Country | US
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Telephone | 321-841-5560
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Fax | 321-841-2442
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Provider Business Mailing Address
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Address Line | 21 COLUMBIA ST
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City | ORLANDO
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State | FL
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Zip | 32806-1133
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Country | US
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Telephone | 321-841-5560
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Fax | 321-841-2442
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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 | MD035459
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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 | 0101237916
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License Number State | VA
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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 | D0062938
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME97643
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME97643
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License Number State | FL
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