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General NPI Number Information
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NPI Number | 1780806588
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Entity Type | Organization
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Legal Business Name | PEAKPERFORMANCE CHIROPRACTIC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 18876 VAN BUREN BLVD # 206
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City | RIVERSIDE
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State | CA
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Zip | 92508-9114
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Country | US
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Telephone | 951-789-7671
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Fax | 951-789-7604
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Provider Business Mailing Address
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Address Line | 18876 VAN BUREN BLVD # 206
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City | RIVERSIDE
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State | CA
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Zip | 92508-9114
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Country | US
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Telephone | 951-789-7671
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Fax | 951-789-7604
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Authorized Official
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Title or Position | OWNER CHIROPRACTOR
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Name | DR. BOBBIE ELAINE HALL
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Credential | DC CCSP
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Telephone | 951-789-7671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC26061
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License Number State | CA
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