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General NPI Number Information
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NPI Number | 1073818662
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Entity Type | Organization
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Legal Business Name | CHRIS CHECKETT LLC
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 14701 DETROIT AVE STE 775
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City | LAKEWOOD
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State | OH
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Zip | 44107-4120
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Country | US
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Telephone | 216-820-8422
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Fax | 216-228-1610
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Provider Business Mailing Address
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Address Line | 14701 DETROIT AVE STE 775
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City | LAKEWOOD
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State | OH
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Zip | 44107-4120
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Country | US
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Telephone | 216-820-8422
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Fax | 216-228-1610
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER CHECKETT
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Credential |
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Telephone | 216-820-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I. 0800032 SUPV
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License Number State | OH
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