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General NPI Number Information
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NPI Number | 1356571350
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Entity Type | Organization
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Legal Business Name | GATEWAYS
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 3200 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3019
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Country | US
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Telephone | 513-585-8500
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Fax | 513-872-5182
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Provider Business Mailing Address
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Address Line | 2600 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1711
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Country | US
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Telephone | 513-751-7747
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Fax | 513-872-5182
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM D HOSTLER
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Credential |
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Telephone | 513-751-7747
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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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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 |
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License Number State |
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