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General NPI Number Information
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NPI Number | 1538647912
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Entity Type | Individual
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Provider Name | AUTUMN BETH VAUGHN A.P., DIP. O.M.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 8777 SAN JOSE BLVD STE 701
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City | JACKSONVILLE
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State | FL
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Zip | 32217-4292
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Country | US
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Telephone | 352-665-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 5418 STETSON RD
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City | JACKSONVILLE
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State | FL
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Zip | 32207-7860
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Country | US
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Telephone | 352-665-8884
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3654
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License Number State | FL
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