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General NPI Number Information
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NPI Number | 1215098199
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Entity Type | Organization
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Legal Business Name | YANKEE MEDICAL INC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 141 FAIRFAX RD
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City | SAINT ALBANS
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State | VT
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Zip | 05478-6271
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Country | US
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Telephone | 802-527-1343
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Fax |
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Provider Business Mailing Address
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Address Line | 276 NORTH AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-2918
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Country | US
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Telephone | 802-863-4591
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN NICHOLAS FICOCIELLO
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Credential | CPO
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Telephone | 802-863-4591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 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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