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General NPI Number Information
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NPI Number | 1548145980
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Entity Type | Organization
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Legal Business Name | MARION GOODWILL INDUSTRIES, INC.
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1135 COLUMBUS PIKE
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City | DELAWARE
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State | OH
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Zip | 43015-2713
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Country | US
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Telephone | 740-751-4282
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Fax |
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Provider Business Mailing Address
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Address Line | 340 W FAIRGROUND ST
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City | MARION
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State | OH
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Zip | 43302-1728
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Country | US
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Telephone | 740-387-7023
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MICHELLE ROBERTS
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Credential |
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Telephone | 740-387-7023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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