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For administrative purposes, local churches were grouped in dioceses, which were headed by bishops. A bishop's own church, where he presided at services, was the cathedral. The cathedral also had the central offices, and usually one or more monasteries, hospitals, schools, libraries, or other types of institutions associated with it. Cathedrals were built to be churches from which these functions could be provided.

During parts of the Middle Ages, the presence of a cathedral was the thing that distinguished a city from a town.

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