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General NPI Number Information
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NPI Number | 1306069653
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Entity Type | Organization
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Legal Business Name | CAROLE A CASTEEN M.D., P.C.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 1026 CALLOWAY DR SUITE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93312
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Country | US
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Telephone | 661-663-9090
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Fax | 661-829-6754
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Provider Business Mailing Address
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Address Line | PO BOX 22650
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City | BAKERSFIELD
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State | CA
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Zip | 93390-2650
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Country | US
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Telephone | 661-663-9090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROLE ANN CASTEEN
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Credential | MD
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Telephone | 661-663-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G50991
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G50991
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0584260001
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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