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General NPI Number Information
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NPI Number | 1164188587
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Entity Type | Individual
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Provider Name | MARLENA ROCHELLE BENSON-KELSEY NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 401 S MAIN ST
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City | DEER PARK
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State | WA
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Zip | 99006-8238
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Country | US
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Telephone | 509-444-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 731 N IRON BRIDGE WAY
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City | SPOKANE
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State | WA
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Zip | 99202-4926
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Country | US
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Telephone | 509-444-8200
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61237608
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License Number State | WA
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