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General NPI Number Information
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NPI Number | 1285753319
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Entity Type | Individual
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Provider Name | KARMYN B VAUGHN MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 4 BACK RIVER RD
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City | DOVER
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State | NH
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Zip | 03820-4404
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Country | US
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Telephone | 603-744-1373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2052
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City | NEW CASTLE
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State | NH
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Zip | 03854-2052
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Country | US
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Telephone | 603-502-7671
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1679
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 116934
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License Number State | MA
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