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General NPI Number Information
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NPI Number | 1225949498
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Entity Type | Individual
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Provider Name | ANGELA NYCOLE VAUGHN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 6301 SOUTHWEST BLVD STE 102
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City | BENBROOK
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State | TX
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Zip | 76132-1076
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Country | US
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Telephone | 682-227-2516
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Fax |
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Provider Business Mailing Address
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Address Line | 9056 SUMMIT PENINSULA RD APT 5107
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City | FORT WORTH
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State | TX
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Zip | 76123-2384
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Country | US
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Telephone | 318-820-8200
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-2848219
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License Number State | TX
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