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NPI 1003142225

NPI 1003142225 : YALE NEW HAVEN HOSPITAL : NEW HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1003142225
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    Entity Type          |    Organization 
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    Legal Business Name  |    YALE NEW HAVEN HOSPITAL 
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Dates
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    Enumeration Date     |    10/22/2009
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    20 YORK ST 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06510-3220
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    Country              |    US
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    Telephone            |    203-688-2046
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20 YORK ST 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06510-3220
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     JACQUELINE  WRINN 
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    Credential           |    
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    Telephone            |    203-688-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    0044
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    License Number State |    CT
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