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General NPI Number Information
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NPI Number | 1497696439
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL GATE COMMUNITY AND BEHAVIORAL HEALTH CENTER
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 5253 BENNETT RD
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City | TOLEDO
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State | OH
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Zip | 43612-3447
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Country | US
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Telephone | 419-329-4152
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Fax | 419-329-4152
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Provider Business Mailing Address
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Address Line | 2234 WESTBROOK DR
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City | TOLEDO
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State | OH
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Zip | 43613-3950
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Country | US
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Telephone | 419-329-4152
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Fax | 419-329-4152
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ESTEEA JACKSON
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Credential | EXECUTIVE DIRECTOR
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Telephone | 419-329-4152
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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 |
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License Number State |
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