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General NPI Number Information
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NPI Number | 1275345126
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Entity Type | Individual
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Provider Name | KAIRA RODRIGUEZ BENITEZ DC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 5637 W 56TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-1652
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Country | US
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Telephone | 317-401-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 335 CENTRAL STATE BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-0105
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Country | US
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Telephone | 939-401-3861
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08003495A
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License Number State | IN
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