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General NPI Number Information
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NPI Number | 1598202871
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Entity Type | Organization
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Legal Business Name | GATEWAY COMMUNITY HEALTH CENTERS, INC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 2869 VIRGINIA RD
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City | TYNER
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State | NC
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Zip | 27980
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Country | US
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Telephone | 252-221-1033
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Fax | 252-221-8017
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Provider Business Mailing Address
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Address Line | PO BOX 297
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City | GATESVILLE
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State | NC
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Zip | 27938-0297
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Country | US
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Telephone | 252-221-1033
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ROSE TURNER
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Credential |
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Telephone | 252-221-2171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 12942
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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