MEDICARE: DR. ROSS D. VAUGHAN

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
1	111N00000X	Chiropractor	001284-L	PA

General Provider Information

NPI Number	:	1902816986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ROSS D. VAUGHAN

Provider Business Mailing Address
First Line	:	300 MT LEBANON BLVD
Second Line	:	SUITE 2205
City	:	PITTSBURGH
State	:	PA
Zip	:	15234
Country	:	US
Telephone Number	:	412-531-6196
Fax Number	:	412-531-6626

Provider Business Practice Location Address
First Line	:	300 MT LEBANON BLVD
Second Line	:	SUITE 2205
City	:	PITTSBURGH
State	:	PA
Zip	:	15234
Country	:	US
Telephone Number	:	412-531-6196
Fax Number	:	412-531-6626

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROSS D VAUGHAN
Credential	:	DC
Telephone Number	:	412-531-6196

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/17/2008

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