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General NPI Number Information
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NPI Number | 1609608298
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Entity Type | Organization
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Legal Business Name | BEN INDIEK PLLC
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 3120 W BELLTOWER DR STE 150
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City | MERIDIAN
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State | ID
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Zip | 83646-7700
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Country | US
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Telephone | 208-846-8898
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Fax |
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Provider Business Mailing Address
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Address Line | 12022 W ARDYCE ST
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City | BOISE
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State | ID
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Zip | 83713-5522
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Country | US
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Telephone | 208-846-8898
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Fax | 208-297-2568
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. BENJAMIN HENRY INDIEK
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Credential | DC
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Telephone | 208-608-8990
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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 |
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License Number State |
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