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General NPI Number Information
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NPI Number | 1962571273
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Entity Type | Individual
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Provider Name | LENORA BROOKE VAUGHAN DO
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 4085 OHIO DR STE 100
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City | FRISCO
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State | TX
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Zip | 75035-6245
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Country | US
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Telephone | 972-335-1490
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Fax | 972-335-1491
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Provider Business Mailing Address
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Address Line | 4085 OHIO DR STE 100
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City | FRISCO
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State | TX
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Zip | 75035-6245
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Country | US
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Telephone | 972-335-1490
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Fax | 972-335-1491
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M4951
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License Number State | TX
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