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General NPI Number Information
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NPI Number | 1952940272
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Entity Type | Organization
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Legal Business Name | LIFEGATE HEALTH SERVICES
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1300 I ST NW STE 400
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City | WASHINGTON
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State | DC
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Zip | 20005-3411
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Country | US
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Telephone | 240-432-7204
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Fax | 202-478-1647
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Provider Business Mailing Address
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Address Line | 1300 I ST NW STE 400
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City | WASHINGTON
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State | DC
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Zip | 20005-3411
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Country | US
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Telephone | 240-432-7204
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Fax | 202-749-8517
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Authorized Official
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Title or Position | CEO
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Name | MS. CHRISTINA EMADE
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Credential |
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Telephone | 240-432-7204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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