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General NPI Number Information
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NPI Number | 1801325402
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Entity Type | Individual
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Provider Name | MARNIE TUENGE
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 10405 GRAND VALLEY LN
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City | WOODBURY
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State | MN
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Zip | 55129-4260
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Country | US
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Telephone | 612-389-8819
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Fax | 651-391-2088
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Provider Business Mailing Address
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Address Line | 10405 GRAND VALLEY LN
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City | WOODBURY
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State | MN
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Zip | 55129-4260
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Country | US
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Telephone | 612-389-8819
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Fax | 651-391-2088
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24955
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12440-123
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License Number State | WI
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