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General NPI Number Information
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NPI Number | 1437313657
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Entity Type | Individual
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Provider Name | IRIS G STREIMISH M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | YALE NEW HAVEN HOSPITAL 20 YORK STREET, PEDIATRICS, PERINATAL MEDICINE WP493
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City | NEW HAVEN
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State | CT
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Zip | 06510
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Country | US
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Telephone | 203-688-2318
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Fax |
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Provider Business Mailing Address
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Address Line | 16 HARCOURT ST APARTMENT 16
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City | BOSTON
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State | MA
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Zip | 02116-6427
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Country | US
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Telephone | 203-688-2318
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 236472
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License Number State | MA
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