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General NPI Number Information
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NPI Number | 1679111892
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Entity Type | Organization
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Legal Business Name | ABRIA THERAPY, LLC
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 10451 MILL RUN CIRCLE SUITE 400
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-205-9255
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Fax |
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Provider Business Mailing Address
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Address Line | 9722 GROFFS MILL DR STE 766
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City | OWINGS MILLS
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State | MD
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Zip | 21117-6341
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Country | US
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Telephone | 410-205-9255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABE BUCHLER
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Credential |
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Telephone | 410-205-9255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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