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General NPI Number Information
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NPI Number | 1932767274
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Entity Type | Individual
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Provider Name | ALEJANDRO TINAJERO ATC
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Gender | Male
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Dates
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Enumeration Date | 06/02/2019
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 510 8TH AVE NE STE 100
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City | ISSAQUAH
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State | WA
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Zip | 98029-5436
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Country | US
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Telephone | 425-507-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 10835 NE 68TH ST APT 106
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City | KIRKLAND
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State | WA
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Zip | 98033-7134
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Country | US
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Telephone | 650-388-2759
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2000035721
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License Number State | CA
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