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General NPI Number Information
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NPI Number | 1790337079
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Entity Type | Individual
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Provider Name | ALEXA GAROL PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 450 SUTTER ST RM 1723
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4100
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Country | US
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Telephone | 415-395-7323
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 CHESTNUT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-2536
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Country | US
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Telephone | 775-412-8688
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 58928
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License Number State | CA
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