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NPI 1679385512

NPI 1679385512 : GATES INSTITUTES INC : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1679385512
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    Entity Type          |    Organization 
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    Legal Business Name  |    GATES INSTITUTES INC 
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Dates
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    Enumeration Date     |    01/27/2025
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    Last Update Date     |    01/27/2025
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Provider Practice Location Address
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    Address Line         |    1845 FAIRMOUNT ST 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67260-9700
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    Country              |    US
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    Telephone            |    316-413-1232
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    250 S SHERIDAN ST APT 102 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67213-2468
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    Country              |    US
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    Telephone            |    316-413-1232
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. SEAN D. GATES SR.
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    Credential           |    
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    Telephone            |    316-413-1232
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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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