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Before marrying Tsar Nicholas, Alexandra was formally known as Princess Alix of Hesse and by Rhine. (In reference to the Rhine River)
After marriage and converting to Russian Orthodoxy, she took the name Alexandra Feodorovna. Thus, her full name and title would be :
Her Imperial Highness, the Czarina Alexandara (Alix) Feodorovna Romanova of Hesse and by Rhine.
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