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General NPI Number Information
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NPI Number | 1821093287
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Entity Type | Individual
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Provider Name | DAVID LEE CATHCART M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 07/03/2016
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Provider Practice Location Address
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Address Line | 948 E US HIGHWAY 54
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City | CAMDENTON
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State | MO
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Zip | 65020-6834
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Country | US
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Telephone | 573-346-4446
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Fax | 573-346-7501
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Provider Business Mailing Address
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Address Line | PO BOX 777 304 W. WASHINGTON AVENUE
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City | RICHLAND
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State | MO
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Zip | 65556-0777
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Country | US
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Telephone | 573-765-5131
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Fax | 573-765-3122
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 109547
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License Number State | MO
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