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General NPI Number Information
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NPI Number | 1619460631
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Entity Type | Individual
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Provider Name | HOSSAM SALEH KHLAEF ALSLAIM MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 915 CAMINO DE SALUD
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City | ALBUQUERQUE
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State | NM
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Zip | 87102
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Country | US
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Telephone | 347-255-6960
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Fax |
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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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 |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD2025-0587
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License Number State | NM
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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 | 010021
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License Number State | GA
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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 | MD2025-0587
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License Number State | NM
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