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General NPI Number Information
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NPI Number | 1205780178
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Entity Type | Individual
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Provider Name | TRACEY GILSON VAUGHAN
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Gender | Female
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 400 BROAD ST STE 2020
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City | SEWICKLEY
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State | PA
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Zip | 15143-1500
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Country | US
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Telephone | 412-779-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 449 LEET RD
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City | SEWICKLEY
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State | PA
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Zip | 15143-1019
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Country | US
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Telephone | 412-779-0977
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | F03967
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License Number State | PA
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