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General NPI Number Information
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NPI Number | 1861037129
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Entity Type | Individual
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Provider Name | YULY ANDREA RIOS MENDEZ
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 149 MINOR ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1623
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Country | US
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Telephone | 203-503-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 808 ORANGE ST APT 3
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City | NEW HAVEN
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State | CT
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Zip | 06511-2508
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Country | US
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Telephone | 443-418-0645
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 15096
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50082590
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License Number State | DC
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