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General NPI Number Information
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NPI Number | 1760279483
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Entity Type | Organization
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Legal Business Name | GATEWAY TO SUCCESS TRANSPORT TO WELLNESS
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 602 YALE PL
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City | CANON CITY
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State | CO
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Zip | 81212-4611
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Country | US
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Telephone | 719-275-0700
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Fax | 719-896-2874
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Provider Business Mailing Address
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Address Line | PO BOX 7271
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City | WOODLAND PARK
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State | CO
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Zip | 80863-0203
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Country | US
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Telephone | 719-275-0700
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Fax | 719-896-2874
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE AND HR
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Name | BRITTANY KELLY
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Credential |
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Telephone | 719-564-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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