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General NPI Number Information
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NPI Number | 1144672361
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Entity Type | Individual
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Provider Name | ALEXANDRA MARIE HYNDMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 12410 E SINTO AVE STE 201
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-2280
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Country | US
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Telephone | 509-928-4334
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Fax | 509-928-7893
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Provider Business Mailing Address
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Address Line | 601 W 5TH AVE STE 400
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City | SPOKANE
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State | WA
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Zip | 99204-2715
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Country | US
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Telephone | 509-344-2663
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Fax | 509-624-9179
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA1916
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA60651791
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License Number State | WA
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