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General NPI Number Information
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NPI Number | 1700050911
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Entity Type | Individual
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Provider Name | ALEXA HENDERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 10 WOODLAND RD
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City | SAINT HELENA
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State | CA
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Zip | 94574-9554
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Country | US
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Telephone | 707-963-2002
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WOODLAND RD
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City | SAINT HELENA
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State | CA
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Zip | 94574-9554
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Country | US
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Telephone | 707-963-2002
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01064878A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD174910
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A114649
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD174910
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License Number State | OR
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