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General NPI Number Information
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NPI Number | 1720571235
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Entity Type | Individual
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Provider Name | JEWEL VAUGHN M.S.E.D
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Gender | Female
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 224 W 35TH ST FL 11
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City | NEW YORK
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State | NY
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Zip | 10001-2533
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Country | US
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Telephone | 929-266-5737
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Fax | 929-266-5264
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Provider Business Mailing Address
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Address Line | 14464 177TH PL
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City | JAMAICA
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State | NY
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Zip | 11434-4922
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Country | US
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Telephone | 347-549-2811
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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