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General NPI Number Information
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NPI Number | 1689561912
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Entity Type | Organization
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Legal Business Name | M-CARE MEDICAL GROUP PC
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 5189 HOSPITAL RD
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City | MARIPOSA
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State | CA
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Zip | 95338-9524
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Country | US
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Telephone | 909-327-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 1348 W HERNDON AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93711-7181
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Country | US
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Telephone | 909-327-8245
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | NAILE BARZAGA HAZRATI
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Credential | MD
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Telephone | 909-327-8245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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