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General NPI Number Information
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NPI Number | 1790698033
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Entity Type | Individual
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Provider Name | STACEY ANN MANIGOLD
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 5106 POINTE SPRING XING
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City | SPRING
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State | TX
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Zip | 77389-1794
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Country | US
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Telephone | 832-948-5046
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Fax |
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Provider Business Mailing Address
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Address Line | 5106 POINTE SPRING XING
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City | SPRING
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State | TX
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Zip | 77389-1794
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Country | US
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Telephone | 832-948-5046
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | TX
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