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General NPI Number Information
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NPI Number | 1184020349
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Entity Type | Individual
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Provider Name | SHERRY LYNN BENSON LCSW, CCPT
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Gender | Female
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 805 1ST ST
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City | MENOMINEE
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State | MI
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Zip | 49858-3231
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Country | US
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Telephone | 906-424-4476
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Fax | 906-424-4480
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Provider Business Mailing Address
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Address Line | 805 1ST ST
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City | MENOMINEE
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State | MI
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Zip | 49858-3231
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Country | US
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Telephone | 906-424-4476
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Fax | 906-424-4480
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 129573
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8611-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6801098834
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License Number State | MI
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