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General NPI Number Information
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NPI Number | 1366330730
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Entity Type | Organization
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Legal Business Name | KELLY BENSINGER LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 330 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-8527
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Country | US
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Telephone | 517-273-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 330 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-8527
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Country | US
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Telephone |
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Fax | 833-740-3674
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Authorized Official
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Title or Position | OWNER
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Name | KELLY L BENSINGER
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Credential | PMHNP
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Telephone | 517-281-0146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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