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General NPI Number Information
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NPI Number | 1285735969
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Entity Type | Organization
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Legal Business Name | DETURE STONE ASSOCIATES, PA
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE SUITE 121
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City | ORLANDO
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State | FL
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Zip | 32804-4603
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Country | US
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Telephone | 407-303-2860
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Fax | 407-303-2862
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Provider Business Mailing Address
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Address Line | 2501 N ORANGE AVE SUITE 121
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City | ORLANDO
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State | FL
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Zip | 32804-4603
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Country | US
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Telephone | 407-303-2860
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Fax | 407-303-2862
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Authorized Official
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Title or Position | MD
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Name | MR. DAVID J VAUGHAN
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Credential |
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Telephone | 407-303-2860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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