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NPI Code Detail

MEDICARE: DENISE DARSEL PITTS

MEDICARE:   DENISE DARSEL 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
1172A00000XDriverRB722424OH

General Provider Information

NPI Number : 1487425898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE DARSEL PITTS
Provider Business Mailing Address
First Line : 1667 CUMBERLAND RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1718
Country : US
Telephone Number : 216-820-8832
Fax Number :
Provider Business Practice Location Address
First Line : 1667 CUMBERLAND RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1718
Country : US
Telephone Number : 216-820-8832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2024
Last Update Date : 01/15/2024

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Directions to “ DENISE DARSEL PITTS ” Practice Location

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