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General NPI Number Information
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NPI Number | 1093101164
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Entity Type | Organization
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Legal Business Name | GLADIATOR SOLUTIONS, INC.
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 379 RALPH MCGILL BLVD NE APT K
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City | ATLANTA
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State | GA
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Zip | 30312-1214
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Country | US
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Telephone | 214-729-4875
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Fax |
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Provider Business Mailing Address
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Address Line | 379 RALPH MCGILL NE K
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City | ATLANTA
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State | GA
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Zip | 30312-1214
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Country | US
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Telephone | 214-729-4875
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON GATHING
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Credential | M.ED.
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Telephone | 214-729-4875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 060-R-1792
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License Number State | GA
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