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General NPI Number Information
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NPI Number | 1023014271
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Entity Type | Organization
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Legal Business Name | GATEWAY HEALTH CARE CENTRES LIMITED PTR
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 3 GATEWAY DRIVE
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City | EUCLID
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State | OH
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Zip | 44119-2447
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Country | US
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Telephone | 216-486-4949
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Fax | 216-481-5155
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Provider Business Mailing Address
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Address Line | 23530 SAINT CLAIR AVE
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City | EUCLID
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State | OH
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Zip | 44117-2513
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Country | US
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Telephone | 216-486-4949
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Fax | 216-481-5155
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. BETH DECAPITE
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Credential |
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Telephone | 216-486-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 5082
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License Number State | OH
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