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General NPI Number Information
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NPI Number | 1508033010
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Entity Type | Organization
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Legal Business Name | GATEWAY AREA DEVELOPMENT DISTRICT
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 110 LAKE PARK DR
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City | MOREHEAD
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State | KY
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Zip | 40351-7985
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Country | US
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Telephone | 606-780-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 110 LAKE PARK DR
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City | MOREHEAD
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State | KY
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Zip | 40351-7985
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Country | US
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Telephone | 606-780-0090
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Fax | 606-780-0111
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. GAIL K. WRIGHT
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Credential |
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Telephone | 606-780-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 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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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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