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General NPI Number Information
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NPI Number | 1669343505
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Entity Type | Organization
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Legal Business Name | EAST STRETTT ENTERPRISE LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 26187 CHARDON RD
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City | RICHMOND HTS
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State | OH
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Zip | 44143-1230
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Country | US
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Telephone | 216-417-5355
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Fax |
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Provider Business Mailing Address
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Address Line | 26187 CHARDON RD
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City | RICHMOND HTS
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State | OH
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Zip | 44143-1230
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Country | US
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Telephone | 216-417-5355
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | THERESA KING
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Credential |
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Telephone | 216-926-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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