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General NPI Number Information
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NPI Number | 1629100086
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Entity Type | Individual
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Provider Name | MARY L GARIBALDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | YALE NH HOSPITAL 20 YORK ST
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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 | 203-688-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 36 MARNE AVE
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City | FAIRFIELD
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State | CT
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Zip | 06825-1755
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Country | US
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Telephone | 518-423-1054
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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 | 64005
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 64005
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License Number State | CT
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