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General NPI Number Information
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NPI Number | 1982559951
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Entity Type | Organization
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Legal Business Name | BRIDGING GAPS SUPPORT SERVICES, LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 149 DISNEY CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3232
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Country | US
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Telephone | 410-564-6104
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Fax | 410-884-6760
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Provider Business Mailing Address
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Address Line | 149 DISNEY CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3232
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Country | US
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Telephone | 410-564-6104
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Fax | 410-884-6760
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Authorized Official
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Title or Position | CEO
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Name | MR. GEORGE EDWARD MASON JR.
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Credential |
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Telephone | 410-564-6104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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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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