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General NPI Number Information
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NPI Number | 1588206684
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Entity Type | Individual
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Provider Name | ALEXANDRA ERIN HATCHER
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 9765 SAN JOSE BLVD STE 106
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City | JACKSONVILLE
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State | FL
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Zip | 32257-5467
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Country | US
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Telephone | 904-551-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 THE GREENS WAY APT 424
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-2443
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Country | US
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Telephone | 267-980-6635
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT35165
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License Number State | FL
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