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General NPI Number Information
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NPI Number | 1780281881
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Entity Type | Organization
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Legal Business Name | GATEWAY PRESCRIPTION CENTER INC
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 742 SE BAYA DR
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City | LAKE CITY
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State | FL
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Zip | 32025-6079
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Country | US
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Telephone | 386-755-2277
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Fax | 386-466-1923
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Provider Business Mailing Address
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Address Line | 780 SE BAYA DR
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City | LAKE CITY
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State | FL
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Zip | 32025-5403
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Country | US
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Telephone | 386-719-0050
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Fax | 386-438-5421
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | JOAN M ALLISON
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Credential |
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Telephone | 386-719-9952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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