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General NPI Number Information
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NPI Number | 1801887880
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Entity Type | Organization
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Legal Business Name | STARR GATEWAY
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6655 SYKESVILLE RD
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City | SYKESVILLE
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State | MD
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Zip | 21784-7966
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Country | US
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Telephone | 410-970-7000
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Fax | 410-970-7005
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Provider Business Mailing Address
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Address Line | 6655 SYKESVILLE RD
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City | SYKESVILLE
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State | MD
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Zip | 21784-7966
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Country | US
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Telephone | 410-970-7000
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Fax | 410-970-7005
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. PAULA A. LANGMEAD
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Credential | MBA
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Telephone | 410-970-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 06AL0080
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License Number State | MD
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