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General NPI Number Information
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NPI Number | 1447314695
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Entity Type | Individual
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Provider Name | MARTHA MINIHAN MITCHELL RNC MS CAPT NC USNR
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 789 HOWARD AVENUE YALE NEW HAVEN HOSPITAL WOMENS CENTER
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City | NEW HAVEN
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State | CT
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Zip | 06519
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Country | US
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Telephone | 203-688-4101
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Fax | 203-688-1101
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Provider Business Mailing Address
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Address Line | 25 MAIN STREET
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City | STONINGTON
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State | CT
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Zip | 06378-1450
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Country | US
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Telephone | 860-535-3078
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Fax | 860-535-2806
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 002646
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F4205041
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 96313
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License Number State | MA
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