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General NPI Number Information
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NPI Number | 1548070683
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Entity Type | Organization
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Legal Business Name | VAUGHTERS FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1908A PAWNEE ST
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City | AIKEN
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State | SC
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Zip | 29803-6006
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Country | US
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Telephone | 803-648-3130
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Fax | 803-648-9860
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Provider Business Mailing Address
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Address Line | PO BOX 5035
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City | AIKEN
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State | SC
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Zip | 29804-5035
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Country | US
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Telephone | 803-648-3130
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Fax | 803-648-9860
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEEDEE HARDEE VAUGHTERS
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Credential |
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Telephone | 803-439-5701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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