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General NPI Number Information
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NPI Number | 1902113780
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Entity Type | Individual
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Provider Name | MAYYA BABAYEVA RN
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Gender | Female
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 75 MAIDEN LANE GOTHAM PER DIEM INC
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City | NEW YORK
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State | NY
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Zip | 10038
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Country | US
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Telephone | 212-477-3600
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Fax | 212-477-0795
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Provider Business Mailing Address
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Address Line | 6329 DRY HARBOR RD MIDDLE VILLAGE
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-1964
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Country | US
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Telephone | 718-396-0792
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 585546-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F341161-01
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License Number State | NY
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