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General NPI Number Information
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NPI Number | 1477176899
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Entity Type | Individual
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Provider Name | CARLOS HUMBERTO MAZARIEGOS LETRAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2615 CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2014
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Country | US
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Telephone | 661-395-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2615 CHESTER AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2014
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Country | US
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Telephone | 661-395-3000
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A187387
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.077178
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License Number State | IL
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