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NPI Profile & details for TAMIKA FAGAN · (Female)

NPI # 1083587042
Status Active
Credentials CBCS, CCHT,NHA
Entity Individual
Enumeration date 09/25/2025
Last updated 01/29/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 1138009113
  • NC License # 566993
  • NC License # S4L8A5R7
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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