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General NPI Number Information
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NPI Number | 1053676049
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Entity Type | Individual
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Provider Name | ABDULQADER SUFYAN ALARHAYEM M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1710 KELLER PKWY UNIT 3008
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City | KELLER
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State | TX
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Zip | 76248-3749
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Country | US
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Telephone | 210-784-7281
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 KELLER PKWY UNIT 3008
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City | KELLER
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State | TX
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Zip | 76248-3749
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Country | US
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Telephone | 210-784-7281
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME129683
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 2022011041
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD225608
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 16292A
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | T4104
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 35223
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 59800
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License Number State | AZ
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