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General NPI Number Information
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NPI Number | 1720204795
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Entity Type | Organization
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Legal Business Name | CLIFTON H. CATHCART, D.O., P.A.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 1702 E DENMAN AVE
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City | LUFKIN
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State | TX
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Zip | 75901-6110
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Country | US
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Telephone | 936-637-2080
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Fax | 936-637-7917
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Provider Business Mailing Address
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Address Line | 1702 E DENMAN AVE
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City | LUFKIN
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State | TX
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Zip | 75901-6110
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Country | US
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Telephone | 936-639-1224
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Fax | 936-637-7917
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Authorized Official
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Title or Position | PROVIDER
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Name | CLIFTON H CATHCART DO
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Credential |
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Telephone | 936-637-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F0412
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License Number State | TX
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