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General NPI Number Information
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NPI Number | 1588701791
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Entity Type | Individual
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Provider Name | KEVIN JAMES O'CONNELL MA.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 16 BAYVIEW RD
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City | DURHAM
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State | NH
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Zip | 03824-2406
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Country | US
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Telephone | 603-397-5028
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Fax | 603-889-9639
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Provider Business Mailing Address
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Address Line | 16 BAYVIEW ROAD
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City | DURHAM
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State | NH
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Zip | 03824-2406
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Country | US
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Telephone | 603-397-5028
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Fax | 603-889-9639
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 457
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 769
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0918AL
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 341
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3790
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License Number State | MA
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