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General NPI Number Information
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NPI Number | 1609726470
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Entity Type | Individual
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Provider Name | SALLIE VAUGHAN RD, LD
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 146 E HOSPITAL DR STE 400
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-4800
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Country | US
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Telephone | 803-936-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 504 WILLOWOOD PKWY
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City | CHAPIN
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State | SC
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Zip | 29036-8520
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Country | US
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Telephone | 434-532-3465
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1344
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License Number State | SC
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