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NPI Code Detail

MEDICARE: DANA TABB

MEDICARE: DANA TABB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorA22591NC

General Provider Information

NPI Number : 1447106752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA TABB
Provider Business Mailing Address
First Line : 115 BULL BAY LN
Second Line :
City : GARNER
State : NC
Zip : 27529-5440
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6885 CLIFFDALE RD STE 202
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28314-2834
Country : US
Telephone Number : 910-339-0400
Fax Number : 910-339-0396
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ DANA TABB ” Practice Location

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