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General NPI Number Information
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NPI Number | 1801588819
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Entity Type | Individual
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Provider Name | YAZMILIE GOMEZ CNM
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Gender | Female
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 110 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108
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Country | US
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Telephone | 860-528-1359
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Fax | 860-290-4142
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Provider Business Mailing Address
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Address Line | 94 CONNECTICUT BLVD
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City | EAST HARTFORD
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State | CT
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Zip | 06108
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Country | US
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Telephone | 413-885-2555
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Fax | 860-222-7643
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2310505
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10.136965
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 16.000612
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 16.000612
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License Number State | CT
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