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General NPI Number Information
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NPI Number | 1134841216
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Entity Type | Organization
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Legal Business Name | GATEWAY TREATMENT SERVICES LLC
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 405 STEMMERS RUN RD STE 3
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City | ESSEX
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State | MD
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Zip | 21221-3314
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Country | US
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Telephone | 443-413-9155
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Fax | 410-314-2598
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Provider Business Mailing Address
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Address Line | 4117 CUTTY SARK RD
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2373
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Country | US
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Telephone | 443-413-9155
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NATALIE NICHOLE PRESTON
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Credential |
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Telephone | 443-413-9155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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