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General NPI Number Information
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NPI Number | 1548147531
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Entity Type | Organization
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Legal Business Name | GATEWAY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2755 BORDER LAKE RD STE 105
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City | APOPKA
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State | FL
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Zip | 32703-4885
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Country | US
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Telephone | 352-602-4789
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 LAKE CENTER DR STE B1
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City | MOUNT DORA
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State | FL
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Zip | 32757-2208
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Country | US
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Telephone | 352-602-4789
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SIMONE MARIA LOWMAN
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Credential |
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Telephone | 407-937-9308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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