{
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"OrgName": "GATEWAY BEHAVIORAL HEALTH SERVICES",
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"FirstLineMailingAddress": "6055 NEW JESUP HWY",
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"MailingAddressCityName": "BRUNSWICK",
"MailingAddressStateName": "GA",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "700 COASTAL VILLAGE DR",
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"PracticeLocationAddressCityName": "BRUNSWICK",
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"EnumerationDate": "03/15/2012",
"LastUpdateDate": "03/15/2012",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "SKINNER",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
"LicenseNumber": "CLA000894",
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}