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General NPI Number Information
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NPI Number | 1770150351
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Entity Type | Organization
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Legal Business Name | RACHEL VAUGHN, PSYD. PLLC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 51 E 14TH ST APT 710
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City | CHICAGO
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State | IL
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Zip | 60605-2980
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Country | US
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Telephone | 312-860-2309
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N WABASH AVE STE 1410
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City | CHICAGO
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State | IL
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Zip | 60602-3072
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Country | US
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Telephone | 312-860-2309
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | RACHEL VAUGHN
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Credential | PSYD
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Telephone | 312-860-2309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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