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General NPI Number Information
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NPI Number | 1275556037
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Entity Type | Individual
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Provider Name | CELIA NEFF VAUGHAN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 967 EAST STUART DRIVE GALAX PHARMACY
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City | GALAX
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State | VA
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Zip | 24333-0000
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Country | US
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Telephone | 276-236-1120
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Fax | 276-236-1123
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Provider Business Mailing Address
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Address Line | 900 GLENDALE ROAD P. O. BOX 568
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City | GALAX
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State | VA
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Zip | 24333-0568
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Country | US
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Telephone | 276-236-6724
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202007228
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License Number State | VA
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