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General NPI Number Information
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NPI Number | 1598016701
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Entity Type | Individual
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Provider Name | ALLISON A GARSTECKI PA
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Gender | Female
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 230 GREENO RD N
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City | FAIRHOPE
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State | AL
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Zip | 36532-2914
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Country | US
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Telephone | 251-625-2228
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Fax | 251-625-2112
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Provider Business Mailing Address
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Address Line | 4960 SW 72ND AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33155-5506
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Country | US
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Telephone | 469-458-9222
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Fax | 443-595-6960
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA855
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.855
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00173
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License Number State | MS
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