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General NPI Number Information
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NPI Number | 1407088511
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Entity Type | Individual
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Provider Name | HAYTHAM HISHAM ALABBAS MD, MSC, FRCSC, FACS
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Gender | Male
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Dates
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Enumeration Date | 08/23/2009
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | PRINCE SAUD AL FAISAL, AR RAWDAH
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City | JEDDAH
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State | MAKKAH
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Zip | 23433
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Country | SA
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Telephone | 966-126-6777
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Fax |
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Provider Business Mailing Address
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Address Line | KING FAISAL SPECIALISTS HOSPITAL AND RESEARCH CENTER AR RADWAH DISTRIC
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City | JEDDAH
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State | MAKKAH
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Zip | 23214
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Country | SA
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 242001
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 129666
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License Number State | FL
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