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NPI Code Detail

MEDICARE: DEZAREE DANELLE PITTS

MEDICARE: DEZAREE DANELLE PITTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1003543158
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEZAREE DANELLE PITTS
Provider Business Mailing Address
First Line : 6811 MAYFIELD RD APT 591
Second Line :
City : CLEVELAND
State : OH
Zip : 44124-2222
Country : US
Telephone Number : 216-401-7071
Fax Number :
Provider Business Practice Location Address
First Line : 6606 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-4622
Country : US
Telephone Number : 216-401-7071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2022
Last Update Date : 10/01/2025

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Directions to “ DEZAREE DANELLE PITTS ” Practice Location

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