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General NPI Number Information
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NPI Number | 1144125337
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Entity Type | Organization
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Legal Business Name | THE MARMON FOUNDATION
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 401 BROADWAY AVE N APT 502
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City | ROCHESTER
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State | MN
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Zip | 55906-6012
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Country | US
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Telephone | 612-380-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 401 BROADWAY AVE N APT 502
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City | ROCHESTER
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State | MN
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Zip | 55906-6012
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Country | US
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Telephone | 612-380-7012
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | SONNY AIDEN MARMON
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Credential | CPHQ, CHFP, CLSSBB
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Telephone | 612-380-7012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | NULL
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