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General NPI Number Information
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NPI Number | 1912439142
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Entity Type | Individual
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Provider Name | ALEXANDER L WALLNER MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1330 COSHOCTON AVE KNOX COMMUNITY HOSPITAL
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City | MT. VERNON
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State | OH
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Zip | 43050
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Country | US
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Telephone | 740-397-5400
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Fax | 740-399-3706
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Provider Business Mailing Address
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Address Line | WRIGHT FAMILY MEDICAL PAVILION 1330 COSHOCTON AVE
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City | MT. VERNON
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State | OH
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Zip | 43050
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Country | US
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Telephone | 740-397-5400
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Fax | 740-399-3706
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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 | OH
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.137352
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License Number State | OH
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