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General NPI Number Information
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NPI Number | 1194433920
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Entity Type | Organization
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Legal Business Name | GATEWAY HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 2250 W.OLD HWY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757
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Country | US
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Telephone | 407-937-9308
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Fax | 352-251-1990
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Provider Business Mailing Address
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Address Line | 2250 W.OLD HWY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757
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Country | US
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Telephone | 407-937-9308
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Fax | 352-251-1990
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Authorized Official
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Title or Position | DIRECTOR
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Name | SIMONE LOWMAN
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Credential |
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Telephone | 407-937-9308
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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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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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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