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General NPI Number Information
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NPI Number | 1790607059
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Entity Type | Individual
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Provider Name | KENDRA DAWN VAUGHN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 202 2ND AVE S STE 203
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City | GREAT FALLS
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State | MT
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Zip | 59405-1831
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Country | US
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Telephone | 406-791-9267
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Fax | 406-791-9277
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Provider Business Mailing Address
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Address Line | 902 VALLEY DR
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City | GLASGOW
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State | MT
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Zip | 59230-8405
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN-DEN-LIC-33497
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License Number State | MT
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