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General NPI Number Information
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NPI Number | 1942751557
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Entity Type | Organization
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Legal Business Name | GATEWAY TRANSITION CENTER, INC.
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 10510 JOOR RD SUITE 100
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City | BATON ROUGE
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State | LA
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Zip | 70818-3900
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Country | US
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Telephone | 225-590-3124
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Fax |
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Provider Business Mailing Address
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Address Line | 10510 JOOR RD SUITE 100
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City | BATON ROUGE
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State | LA
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Zip | 70818-3900
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Country | US
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Telephone | 225-590-3124
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN WHITLOW
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Credential |
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Telephone | 225-590-3168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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