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General NPI Number Information
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NPI Number | 1467637801
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Entity Type | Organization
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Legal Business Name | BRIAN R. VAUGHN, INC
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 6224 CAMINITO DEL OESTE
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City | SAN DIEGO
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State | CA
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Zip | 92111-6829
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Country | US
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Telephone | 619-884-0132
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Fax | 858-452-3503
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Provider Business Mailing Address
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Address Line | 6224 CAMINITO DEL OESTE
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City | SAN DIEGO
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State | CA
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Zip | 92111-6829
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Country | US
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Telephone | 619-884-0132
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Fax | 858-452-3503
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | BRIAN R VAUGHN
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Credential |
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Telephone | 619-884-0132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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