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General NPI Number Information
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NPI Number | 1740080613
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Entity Type | Individual
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Provider Name | MS. ALEXANDRA ELIZABETH HARTWELL
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 975 SOLOMONS ISLAND RD N
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-3917
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Country | US
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Telephone | 410-535-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 EMMANUEL CHURCH RD
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-8791
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Country | US
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Telephone | 410-610-9426
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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