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General NPI Number Information
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NPI Number | 1922007509
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Entity Type | Individual
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Provider Name | MARK DENNIS CATES DC
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1508 TOWNSHIP ROAD 1153
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City | ASHLAND
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State | OH
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Zip | 44805-9746
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Country | US
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Telephone | 419-289-0031
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Fax | 419-289-1473
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Provider Business Mailing Address
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Address Line | 1508 TOWNSHIP ROAD 1153
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City | ASHLAND
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State | OH
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Zip | 44805-9746
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Country | US
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Telephone | 419-289-0031
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Fax | 419-289-1473
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1219
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License Number State | OH
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