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General NPI Number Information
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NPI Number | 1811183023
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Entity Type | Organization
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Legal Business Name | IDEAL HEALTH
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 8631 W ARDENE ST
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City | BOISE
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State | ID
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Zip | 83709-2601
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Country | US
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Telephone | 208-629-1904
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Fax | 208-545-1846
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Provider Business Mailing Address
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Address Line | 8505 W OVERLAND RD
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City | BOISE
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State | ID
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Zip | 83709-1644
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Country | US
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Telephone | 208-629-1904
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Fax | 208-545-1846
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Authorized Official
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Title or Position | CHIROPRACTIC/PRESIDENT
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Name | DR. JOSEPH W BETZ
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Credential | D.C.
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Telephone | 208-830-3034
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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 | CHIA-977
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License Number State | ID
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