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General NPI Number Information
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NPI Number | 1912879800
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Entity Type | Organization
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Legal Business Name | BRIDGING GAPS SERVICES LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 598 CHARLES ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1359
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Country | US
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Telephone | 774-520-6927
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Fax | 401-537-3417
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Provider Business Mailing Address
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Address Line | 598 CHARLES ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1359
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Country | US
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Telephone | 774-520-6927
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Fax | 401-537-3417
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALEXANDRIA YOUNG
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Credential |
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Telephone | 774-225-2541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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