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General NPI Number Information
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NPI Number | 1386665297
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Entity Type | Organization
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Legal Business Name | MERILYN HOWTON MARRIOTT
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 157 LOWE ST
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City | VIDOR
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State | TX
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Zip | 77662-3844
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Country | US
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Telephone | 409-769-1824
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Fax | 409-769-1829
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Provider Business Mailing Address
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Address Line | 157 LOWE ST
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City | VIDOR
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State | TX
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Zip | 77662-3844
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Country | US
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Telephone | 409-769-1824
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Fax | 409-769-1829
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Authorized Official
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Title or Position | SOLE PROPRIETOR/OWNER
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Name | MERILYN F. HOWTON MARRIOTT
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Credential |
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Telephone | 409-769-1824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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