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General NPI Number Information
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NPI Number | 1548056112
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Entity Type | Organization
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Legal Business Name | NICHOLAS KALAYEH
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 05/30/2025
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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 | 702-360-0011
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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 | 702-360-0011
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Fax | 702-360-0011
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Authorized Official
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Title or Position | OWNER
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Name | NICHOLAS KALAYEH
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Credential | MD
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Telephone | 702-360-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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