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General NPI Number Information
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NPI Number | 1154538205
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Entity Type | Organization
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Legal Business Name | GATEWAY COMMUNITY INDUSTRIES, INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 1 AMY KAY PKWY
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City | KINGSTON
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State | NY
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Zip | 12401-6444
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Country | US
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Telephone | 845-331-1261
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Fax | 845-331-2112
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Provider Business Mailing Address
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Address Line | 1 AMY KAY PKWY
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City | KINGSTON
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State | NY
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Zip | 12401-6444
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Country | US
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Telephone | 845-331-1261
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Fax | 845-331-2112
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. STEPHANIE TURCO
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Credential |
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Telephone | 845-331-1261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6061300A
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6061300
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6061005A
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License Number State | NY
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