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General NPI Number Information
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NPI Number | 1568379071
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Entity Type | Organization
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Legal Business Name | EASTSIDE ACCIDENT REHAB LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 3690 ORANGE PL STE 270
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City | BEACHWOOD
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State | OH
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Zip | 44122-4438
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Country | US
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Telephone | 216-440-0472
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Fax |
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Provider Business Mailing Address
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Address Line | 487 N ASHWOOD LN
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City | PAINESVILLE
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State | OH
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Zip | 44077-6165
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Country | US
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Telephone | 216-440-0472
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. NICHOLAS J GATTO
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Credential | DC
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Telephone | 216-440-0472
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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 |
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License Number State |
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