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General NPI Number Information
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NPI Number | 1285752063
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Entity Type | Organization
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Legal Business Name | PALOMAR HEALTH
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 555 EAST VALLEY PARKWAY
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City | ESCONDIDO
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State | CA
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Zip | 92025
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Country | US
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Telephone | 760-739-3000
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Fax | 760-480-7966
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Provider Business Mailing Address
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Address Line | 2125 CITRACADO PKWY STE 300
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City | ESCONDIDO
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State | CA
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Zip | 92029-4159
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DIANE HANSEN
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Credential |
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Telephone | 760-740-6385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | HPE34951
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HPE34951
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License Number State |
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