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General NPI Number Information
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NPI Number | 1487481818
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Entity Type | Organization
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Legal Business Name | GATEWAY COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1702 LAFAYETTE ST
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City | LAREDO
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State | TX
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Zip | 78041-2461
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Country | US
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Telephone | 956-795-8100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3397
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City | LAREDO
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State | TX
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Zip | 78044-3397
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELMO LOPEZ
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Credential |
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Telephone | 956-625-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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