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General NPI Number Information
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NPI Number | 1073417333
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Entity Type | Organization
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Legal Business Name | THE GATEWAY RECOVERY CENTER LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 43 OWENS ST
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City | BINGHAM
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State | ME
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Zip | 04920-4008
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Country | US
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Telephone | 207-807-8937
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Fax |
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Provider Business Mailing Address
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Address Line | 440 SOKOKIS TRL N
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City | LIMERICK
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State | ME
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Zip | 04048-3106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING AGENT
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Name | BRITTANY M REICHMANN
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Credential |
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Telephone | 207-714-0023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | NULL
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