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General NPI Number Information
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NPI Number | 1972605459
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Entity Type | Individual
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Provider Name | KAREN RENEE VAUGHN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 903 NORTH IH35 SUITE 112
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City | BELLMEAD
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State | TX
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Zip | 76705
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Country | US
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Telephone | 254-335-5844
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Fax | 254-651-1133
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Provider Business Mailing Address
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Address Line | 2507 GURLEY AVE
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City | WACO
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State | TX
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Zip | 76706-2840
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Country | US
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Telephone | 325-428-7997
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Fax | 254-651-1133
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M9071
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M9071
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License Number State | TX
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