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General NPI Number Information
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NPI Number | 1801720750
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Entity Type | Organization
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Legal Business Name | STEPHEN VAUGHAN MD, INC.
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 170 ALAMEDA DE LAS PULGAS
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City | REDWOOD CITY
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State | CA
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Zip | 94062-2751
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Country | US
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Telephone | 650-367-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 668 VISTA CT
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City | REDWOOD CITY
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State | CA
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Zip | 94062-3128
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Country | US
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Telephone | 650-380-6011
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Fax |
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Authorized Official
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Title or Position | AO
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Name | STEPHEN VAUGHAN
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Credential | MD
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Telephone | 650-380-6011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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