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General NPI Number Information
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NPI Number | 1518292507
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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 | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 20 YORK ST 7WP
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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 | 203-688-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 60 JERIMOTH DR
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City | BRANFORD
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State | CT
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Zip | 06405-2226
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Country | US
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Telephone | 203-315-1523
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Fax |
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Authorized Official
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Title or Position | CHIEF OF PHYSICIAN SERVICES
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Name | DR. PETER HERBERT
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Credential | M.D.
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Telephone | 203-688-2615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 003363
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License Number State | CT
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