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General NPI Number Information
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NPI Number | 1467424176
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Entity Type | Individual
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Provider Name | JOHN T CATES OD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 2001 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1200
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Country | US
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Telephone | 765-966-0583
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1200
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Country | US
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Telephone | 765-966-0583
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Fax | 765-966-0960
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003111
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License Number State | IN
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