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General NPI Number Information
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NPI Number | 1346176963
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Entity Type | Organization
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Legal Business Name | GROSSMONT HOSPITAL CORPORATION
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 16752 VALLE VERDE ROAD
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City | POWAY
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State | CA
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Zip | 92064
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Country | US
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Telephone | 619-667-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 8695 SPECTRUM CENTER BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1489
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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 | CEO
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Name | WILLIAM SCOTT EVANS
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Credential |
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Telephone | 619-740-4648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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