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General NPI Number Information
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NPI Number | 1194672089
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Entity Type | Organization
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Legal Business Name | BERT VANDERBLIEK DC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 7439 RESEDA BLVD
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City | RESEDA
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State | CA
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Zip | 91335-2819
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Country | US
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Telephone | 818-345-4924
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Fax | 818-345-5529
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Provider Business Mailing Address
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Address Line | 7439 RESEDA BLVD
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City | RESEDA
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State | CA
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Zip | 91335-2819
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Country | US
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Telephone | 818-345-4924
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Fax | 818-345-5529
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JODEE VANDERBLIEK
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Credential |
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Telephone | 818-207-3048
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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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