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General NPI Number Information
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NPI Number | 1194228288
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Entity Type | Individual
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Provider Name | TAYLOR ANNE VAUGHN
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Gender | Female
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 355 UNION BLVD STE 360
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City | LAKEWOOD
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State | CO
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Zip | 80228-1528
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Country | US
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Telephone | 720-651-9500
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Fax | 720-710-8130
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Provider Business Mailing Address
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Address Line | 4891 INDEPENDENCE ST STE 120
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6713
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Country | US
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Telephone | 303-456-5495
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Fax | 303-456-7490
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.0007458
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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