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1457327231 NPI number — DARREL GENE VAUGHN DDS

NPI Number: 1457327231
Health Care Provider/Practitioner: DARREL GENE VAUGHN DDS

Information about “1457327231” NPI (DARREL GENE VAUGHN DDS) exists in 1457327231 in HTML format HTML  |  1457327231 in plain Text format TXT  |  1457327231 in PDF (Portable Document Format) PDF  |  1457327231 in an XML format XML  formats.

NPI Number : 1457327231 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457327231",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VAUGHN",
    "FirstName": "DARREL",
    "MiddleName": "GENE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2857 MEADOW WOOD DR E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESAPEAKE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23321-4243",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-966-1635",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "NAVY MEDICINE READINESS AND TRAINING UNIT",
    "SecondLinePracticeLocationAddress": "1711 DOOLITTLE AVE, NAS JRB FORT WORTH",
    "PracticeLocationAddressCityName": "FORT WORTH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76127",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-782-5905",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/23/2006",
    "LastUpdateDate": "10/18/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "18318",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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