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General NPI Number Information
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NPI Number | 1992112858
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Entity Type | Individual
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Provider Name | DR. KEVIN BINSELL
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Gender | Male
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 17700 23 MILE RD
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City | MACOMB
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State | MI
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Zip | 48044-1154
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Country | US
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Telephone | 586-416-7500
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Fax | 248-893-6952
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Provider Business Mailing Address
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Address Line | 33333 W 12 MILE RD STE A
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3312
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Country | US
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Telephone | 248-536-2127
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Fax | 248-893-6952
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301105900
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301105900
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License Number State | MI
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