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General NPI Number Information
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NPI Number | 1134255433
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Entity Type | Organization
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Legal Business Name | GATEWAY REGIONAL HEALTH SYSTEMS INC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 250 FOXGLOVE DR SUITE 1
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City | MOUNT STERLING
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State | KY
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Zip | 40353-9770
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Country | US
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Telephone | 859-499-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 250 FOXGLOVE DR
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City | MOUNT STERLING
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State | KY
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Zip | 40353-9770
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Country | US
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Telephone | 859-499-4141
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BETSY S FOSTER
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Credential |
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Telephone | 859-498-0026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 40658
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License Number State | KY
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