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General NPI Number Information
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NPI Number | 1407185978
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Entity Type | Individual
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Provider Name | ALLA ABIGAIL ALAYEVA PHARM-D
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Gender | Female
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Dates
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Enumeration Date | 12/13/2009
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 20011 HOLLIS AVE
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City | SAINT ALBANS
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State | NY
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Zip | 11412-1711
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Country | US
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Telephone | 718-217-8230
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Fax | 718-217-8472
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Provider Business Mailing Address
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Address Line | 14429 JEWEL AVE
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City | FLUSHING
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State | NY
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Zip | 11367-1722
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Country | US
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Telephone | 646-202-3464
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 050664
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License Number State | NY
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