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General NPI Number Information
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NPI Number | 1841179702
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Entity Type | Organization
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Legal Business Name | RAYMOND MALAYEV NP IN ADULT HEALTH PC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 7632 168TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1334
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Country | US
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Telephone | 917-705-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 7632 168TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1334
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND MALAYEV
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Credential | APRN
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Telephone | 917-705-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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