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General NPI Number Information
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NPI Number | 1578769758
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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 | 06/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 230 SOUTH FRONTAGE ROAD NIHB205
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City | NEW HAVEN
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State | CT
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Zip | 06520-7900
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Country | US
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Telephone | 203-785-6973
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Fax | 203-785-7611
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Provider Business Mailing Address
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Address Line | 111 PARK ST APT#15S
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City | NEW HAVEN
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State | CT
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Zip | 06511-5412
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Country | US
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Telephone | 860-508-5709
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Fax | 203-785-7611
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Authorized Official
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Title or Position | ASSISTANT PROFESSOR
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Name | DR. JAMES EDWARD SWAIN
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Credential | M.D., F.R.C.P.C.
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Telephone | 203-785-6973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 040681
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License Number State | CT
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