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General NPI Number Information
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NPI Number | 1316763451
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Entity Type | Individual
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Provider Name | KATHRYN TABET
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Gender | Female
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 22738 MAPLE RD STE 104
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-3366
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Country | US
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Telephone | 240-431-3805
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Fax |
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Provider Business Mailing Address
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Address Line | 48065 MAYFLOWER DR
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-4541
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Country | US
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Telephone | 443-684-9945
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP15686
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License Number State | MD
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