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General NPI Number Information
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NPI Number | 1396375606
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Entity Type | Individual
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Provider Name | BRANDON RAMAKKO DC
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Gender | Male
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Dates
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Enumeration Date | 01/26/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | CASA DE PARCO APARTMENTS TOWER ORCHIDEA, FLOOR 16, ROOM 2
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City | TANGERANG
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State | BANTEN
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Zip | 15345
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Country | ID
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Telephone | 971-236-2303
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Fax |
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Provider Business Mailing Address
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Address Line | CASA DE PARCO APARTMENTS TOWER ORCHIDEA, FLOOR 16, ROOM 2
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City | TANGERANG
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State | BANTEN
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Zip | 15345
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Country | ID
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Telephone |
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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 | 14337
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 14337
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License Number State | TX
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