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Individual
DR. BREE S RADEMACKER
Active
Individual
DR. BREE S RADEMACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010716-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838801
MANANGED PHYSICAL NETWORK
NY
01
—
DE8676
MEDICARE RAILROAD CARRIER
NY
Enumeration date
10/10/2006
Last updated
07/08/2007
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