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NPI Code Detail

MEDICARE: RODNEY VAUGHN

MEDICARE:   RODNEY  VAUGHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1497619167
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY VAUGHN
Provider Business Mailing Address
First Line : 250 AMERICAN WAY APT 517
Second Line :
City : OXON HILL
State : MD
Zip : 20745-4534
Country : US
Telephone Number : 202-568-0792
Fax Number :
Provider Business Practice Location Address
First Line : 5021 EMO ST
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-2861
Country : US
Telephone Number : 202-568-0792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/18/2025

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Directions to “ RODNEY VAUGHN ” Practice Location

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