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General NPI Number Information
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NPI Number | 1255010237
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Entity Type | Individual
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Provider Name | DANIEL E. CATES PHD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 101 W KIRKWOOD AVE STE 250
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City | BLOOMINGTON
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State | IN
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Zip | 47404-6135
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Country | US
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Telephone | 812-320-4869
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Fax |
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Provider Business Mailing Address
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Address Line | 6017 NEHRT RD
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9107
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Country | US
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Telephone | 847-337-1060
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20043664A
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License Number State | IN
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