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General NPI Number Information
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NPI Number | 1508664970
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Entity Type | Individual
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Provider Name | ANETRIUS SHANTELL VAUGHN
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Gender |
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1502 N 70TH AVE
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City | OMAHA
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State | NE
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Zip | 68104-4621
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Country | US
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Telephone | 402-714-2843
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 S 67TH CT APT 25
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City | OMAHA
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State | NE
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Zip | 68106-4250
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Country | US
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Telephone | 402-714-2843
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Fax | 402-714-2843
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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