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Individual

MRS. REBECCA NUNN TANNER

Active
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Individual

MRS. REBECCA NUNN TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2132
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11313164
CAQH
—
01
—
23315
MEDCOST
NC
05
—
7481494
—
NC
01
—
81494
BCBS
NC
01
—
9072860
PHCS
—
Enumeration date
02/02/2006
Last updated
02/12/2008
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