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General NPI Number Information
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NPI Number | 1902247117
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Entity Type | Organization
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Legal Business Name | GATES ROAD MANAGEMENT, LLC
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 3999 RICHMOND RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6046
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Country | US
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Telephone | 440-398-0023
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Fax |
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Provider Business Mailing Address
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Address Line | 3999 RICHMOND RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BHUPINDER SAWHNY
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Credential | MD
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Telephone | 440-398-0023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 35047349
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License Number State | OH
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