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General NPI Number Information
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NPI Number | 1235680265
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Entity Type | Individual
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Provider Name | DR. DORIS VAUGHANS
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 3518 LOOP RD STE 4
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5091
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Country | US
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Telephone | 334-201-9146
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Fax |
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Provider Business Mailing Address
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Address Line | 815 GARDEN PKWY APT 537
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City | TUSCALOOSA
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State | AL
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Zip | 35405-3881
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Country | US
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Telephone | 334-201-9146
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | AL2921
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC008350
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License Number State | GA
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