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General NPI Number Information
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NPI Number | 1659757797
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Entity Type | Organization
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Legal Business Name | STONE GATE CAPITAL GROUP
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 225 GREEN MEADOWS DR S SUITE B
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9714
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Country | US
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Telephone | 614-534-0047
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Fax |
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Provider Business Mailing Address
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Address Line | 225 GREEN MEADOWS DR S SUITE B
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9714
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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 | PRESIDENT
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Name | WILLIAM ROWSEY
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Credential |
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Telephone | 614-534-0047
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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 | 2394361
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License Number State | OH
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