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General NPI Number Information
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NPI Number | 1760365209
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Entity Type | Individual
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Provider Name | ANNA LYN BENSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 340 W WASHINGTON ST
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City | BRAINERD
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State | MN
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Zip | 56401-2924
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Country | US
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Telephone | 218-825-0027
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Fax |
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Provider Business Mailing Address
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Address Line | 25632 E CLARK LAKE RD
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City | NISSWA
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State | MN
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Zip | 56468-2811
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Country | US
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Telephone | 701-630-1594
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 127008
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License Number State | MN
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