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General NPI Number Information
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NPI Number | 1740485333
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Entity Type | Individual
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Provider Name | EMILY GAIL VAUGHN M.S. OTR
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 1855 PLAZA DR
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City | LOUISVILLE
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State | CO
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Zip | 80027-2325
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Country | US
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Telephone | 303-520-7734
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Fax |
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Provider Business Mailing Address
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Address Line | 5546 LONE EAGLE CT
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City | BOULDER
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State | CO
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Zip | 80301-3544
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Country | US
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Telephone | 303-520-7734
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 227539
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License Number State | CO
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