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General NPI Number Information
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NPI Number | 1346198702
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Entity Type | Individual
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Provider Name | TRANG MARIONEAUX
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 317 6TH AVE
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City | DES MOINES
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State | IA
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Zip | 50309-4109
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Country | US
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Telephone | 855-597-1248
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Fax |
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Provider Business Mailing Address
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Address Line | 670 RIDGEWOOD DR
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City | PORT NECHES
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State | TX
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Zip | 77651-6107
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Country | US
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Telephone | 409-454-6258
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 23292632
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License Number State | TX
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