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General NPI Number Information
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NPI Number | 1275153611
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Entity Type | Individual
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Provider Name | ALEXANDER THOMAS HERNANDEZ DO
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Gender | Male
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 5633 N LIDGERWOOD ST
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City | SPOKANE
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State | WA
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Zip | 99208-1295
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Country | US
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Telephone | 509-482-4261
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Fax |
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Provider Business Mailing Address
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Address Line | 4903 E GRACE AVE
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City | SPOKANE
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State | WA
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Zip | 99217-7342
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Country | US
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Telephone | 509-429-6855
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OP61424147
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License Number State | WA
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