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General NPI Number Information
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NPI Number | 1003761628
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Entity Type | Individual
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Provider Name | ALISYN BENKOWSKI L.AC, MS
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Gender | Female
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | BROWN BARN, N8030 TOWNLINE RD SUITE 200
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City | EAST TROY
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State | WI
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Zip | 53120
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Country | US
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Telephone | 262-642-4325
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Fax |
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Provider Business Mailing Address
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Address Line | N7479 BOWERS RD
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City | ELKHORN
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State | WI
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Zip | 53121-3339
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Country | US
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Telephone | 262-370-4054
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2104-55
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License Number State | WI
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