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General NPI Number Information
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NPI Number | 1952264558
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Entity Type | Individual
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Provider Name | RENEE ANDREA HERBST D.C.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 21075 SWENSON DR
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City | WAUKESHA
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State | WI
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Zip | 53186-2000
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Country | US
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Telephone | 262-425-5174
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Fax |
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Provider Business Mailing Address
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Address Line | 731 JOHNSON ST
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City | WATERTOWN
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State | WI
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Zip | 53094
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Country | US
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Telephone | 815-307-0829
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6346-12
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License Number State | WI
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