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General NPI Number Information
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NPI Number | 1720952955
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Entity Type | Organization
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Legal Business Name | GAP CONNECTIONS INC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1290 CEDAR CENTER DR
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City | TALLAHASSEE
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State | FL
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Zip | 32301-4876
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Country | US
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Telephone | 850-694-8012
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Fax |
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Provider Business Mailing Address
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Address Line | 415 N CHARLES WILLIS DR
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City | MIDWAY
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State | FL
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Zip | 32343-4296
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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 | LCSW
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Name | WYSHANTA POMPEY
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Credential |
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Telephone | 850-694-8012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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