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General NPI Number Information
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NPI Number | 1558195701
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Entity Type | Organization
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Legal Business Name | ABHAYA PLLC
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Dates
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Enumeration Date | 08/29/2024
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3710 UNIVERSITY DR STE 100
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City | DURHAM
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State | NC
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Zip | 27707-6208
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Country | US
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Telephone | 919-906-4390
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Fax | 919-287-2707
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Provider Business Mailing Address
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Address Line | 3710 UNIVERSITY DR STE 100
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City | DURHAM
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State | NC
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Zip | 27707-6208
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Country | US
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Telephone | 919-906-4390
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | MR. MATHEW RYAN O'CONNOR
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Credential | LCMHC, LCAS, CCS
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Telephone | 646-872-7527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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