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General NPI Number Information
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NPI Number | 1134335607
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Entity Type | Individual
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Provider Name | NICHOLAS KALAYEH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 2641 W HORIZON RIDGE PKWY STE 100
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City | HENDERSON
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State | NV
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Zip | 89052-4836
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Country | US
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Telephone | 702-360-0010
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Fax | 702-360-0011
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Provider Business Mailing Address
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Address Line | PO BOX 778195
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City | HENDERSON
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State | NV
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Zip | 89077-8195
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Country | US
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Telephone | 702-360-0010
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Fax | 702-360-0011
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36839
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 36839
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 17942
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License Number State | NV
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