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Individual
DR. MARY C. VAUGHAN
Active
Individual
DR. MARY C. VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101050803
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17375
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-010
TRICARE/CHAMPUS
VA
05
—
006207359
—
VA
01
—
0633B
NC BC/BS
NC
05
—
1154399905
—
ME
05
—
1154399905
—
VA
01
—
14067
SENTARA OPTIMA
VA
01
—
236908
UHC/MAMSI
—
01
—
320762
ANTHEM
VA
05
—
890633B
—
NC
01
—
PAR
AETNA
VA
Enumeration date
03/09/2006
Last updated
10/29/2013
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