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General NPI Number Information
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NPI Number | 1306783576
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Entity Type | Organization
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Legal Business Name | MARYANN KRUSE BENS, PLLC
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 2723 S STATE ST STE 150
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City | ANN ARBOR
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State | MI
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Zip | 48104-6188
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Country | US
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Telephone | 510-944-0221
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Fax | 510-944-0020
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Provider Business Mailing Address
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Address Line | 2723 SOUTH STATE STREET STE 150 PMB 9901
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City | ANN ARBOR
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State | MI
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Zip | 48104
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Country | US
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Telephone | 510-944-0221
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Fax | 510-944-0020
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MARYANN KRUSE BENS
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Credential | PSYD
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Telephone | 510-427-8728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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