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General NPI Number Information
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NPI Number | 1508578790
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Entity Type | Individual
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Provider Name | JOSHUA R VAUGHAN FNP
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Gender | Male
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 2441 SURFSIDE BLVD STE 200
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City | CAPE CORAL
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State | FL
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Zip | 33914-3861
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Country | US
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Telephone | 239-541-7500
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Fax | 239-343-4141
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 395-417-5002
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Fax | 239-541-7501
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11022490
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License Number State | FL
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