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General NPI Number Information
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NPI Number | 1841519881
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Entity Type | Organization
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Legal Business Name | GATE MEDICALS,LLC
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 1802 N UNIVERSITY DR STE 102-117
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City | PLANTATION
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State | FL
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Zip | 33322-4115
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Country | US
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Telephone | 954-916-2387
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Fax | 866-486-4268
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Provider Business Mailing Address
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Address Line | 3200 PALM TRACE LANDINGS DR APT 916
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City | DAVIE
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State | FL
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Zip | 33314-6803
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Country | US
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Telephone | 954-916-2387
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Fax | 866-486-4268
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Authorized Official
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Title or Position | COO
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Name | MR. GARY PLANCHER
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Credential |
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Telephone | 954-916-2387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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