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NPI 1134178734

NPI 1134178734 : COLLEEN MARIE CATES RD.,CDE : TACOMA, WA

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General NPI Number Information
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    NPI Number           |    1134178734
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    Entity Type          |    Individual 
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    Provider Name        |    COLLEEN MARIE CATES RD.,CDE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2006
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    Last Update Date     |    07/13/2026
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Provider Practice Location Address
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    Address Line         |    9040A FITZSIMMONS DRIVE 
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98431-0001
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    Country              |    US
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    Telephone            |    253-968-0548
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15778 NW HITE CENTER RD 
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    City                 |    SEABECK
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    State                |    WA
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    Zip                  |    98380-9200
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    Country              |    US
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    Telephone            |    360-830-5193
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    713045
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    License Number State |    WA
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