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General NPI Number Information
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NPI Number | 1952421935
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Entity Type | Individual
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Provider Name | MARINA ALAYEV PA
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Gender | Female
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 10201 66TH RD
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City | FOREST HILLS
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State | NY
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Zip | 11375-2029
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Country | US
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Telephone | 718-830-1030
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Fax | 718-896-2761
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Provider Business Mailing Address
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Address Line | 972 BRUSH HOLLOW RD
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City | WESTBURY
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State | NY
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Zip | 11590-1740
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Country | US
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Telephone | 516-876-5555
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Fax | 516-876-1246
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 009847
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License Number State | NY
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