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NPI 1073730941

NPI 1073730941 : HERBERT CHIROPRACTIC OFFICES : JURUPA VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1073730941
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    Entity Type          |    Organization 
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    Legal Business Name  |    HERBERT CHIROPRACTIC OFFICES 
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Dates
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    Enumeration Date     |    04/20/2007
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    Last Update Date     |    10/07/2025
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Provider Practice Location Address
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    Address Line         |    3730 PONTIAC AVE 
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    City                 |    JURUPA VALLEY
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    State                |    CA
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    Zip                  |    92509-4439
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    Country              |    US
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    Telephone            |    951-683-4935
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    Fax                  |    951-684-1551
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Provider Business Mailing Address
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    Address Line         |    3730 PONTIAC AVE 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92509-4439
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    Country              |    US
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    Telephone            |    951-683-4935
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    Fax                  |    951-684-1551
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DOUGLAS D HERBERT 
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    Credential           |    DC
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    Telephone            |    951-683-4935
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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       |    11928
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    License Number State |    CA
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