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General NPI Number Information
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NPI Number | 1982532040
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Entity Type | Organization
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Legal Business Name | FUTURE GATE ENTERPRISES LLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 7920 S MASON MONTGOMERY RD
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City | MASON
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State | OH
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Zip | 45040-8249
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Country | US
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Telephone | 513-770-0084
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Fax |
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Provider Business Mailing Address
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Address Line | 5974 KENSINGTON TRL
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-8651
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Country | US
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Telephone | 513-546-2422
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | ANGI HAFEZ
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Credential |
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Telephone | 513-546-2422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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