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General NPI Number Information
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NPI Number | 1952236168
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Entity Type | Organization
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Legal Business Name | GATEWAY BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 2121 EISENHOWER AVE STE 208
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4688
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Country | US
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Telephone | 240-505-5427
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 EISENHOWER AVE STE 208
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4688
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Country | US
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Telephone | 240-505-5427
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR / CEO
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Name | DR. GRACE B DOH
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Credential | DNP, MSN, PMHNP
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Telephone | 240-505-5427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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