# RAMIC INDEPENDENCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518152966
- **Authorized official:** MR. ANDREW SHIPPAM (PRESIDENT)
- **Authorized official phone:** (302) 472-9101

## Contact information

- **Practice address:** 3431 S HWY 291, INDEPENDENCE, MO 64057-2341
- **Practice address phone:** (816) 795-6266
- **Practice address fax:** (816) 795-6966
- **Mailing address:** 100 PARAGON DR, MONTVALE, NJ 07645-1779
- **Mailing address phone:** (201) 573-8080
- **Mailing address fax:** (201) 573-4629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 09/10/2007