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General NPI Number Information
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NPI Number | 1548126931
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Entity Type | Organization
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Legal Business Name | FISHER OF MEN ENTERTAINMENT, LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1132 HAYDEN AVE
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City | CLEVELAND
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State | OH
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Zip | 44110-3538
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Country | US
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Telephone | 216-324-1599
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Fax |
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Provider Business Mailing Address
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Address Line | 25895 FORBES RD
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City | OAKWOOD VILLAGE
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State | OH
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Zip | 44146-5605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATASHA WATTS
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Credential |
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Telephone | 216-324-1599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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