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General NPI Number Information
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NPI Number | 1457468233
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Entity Type | Individual
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Provider Name | HUGH D. PATES PHD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8787 CENTER DR
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City | LA MESA
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State | CA
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Zip | 91942-3034
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Country | US
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Telephone | 800-257-8715
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Fax | 800-819-1655
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Provider Business Mailing Address
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Address Line | 6186 STETSON PL
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City | SAN DIEGO
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State | CA
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Zip | 92122-2916
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Country | US
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Telephone | 858-453-0645
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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 | PSY9576
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License Number State | CA
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