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General NPI Number Information
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NPI Number | 1386134864
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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 | 05/10/2018
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 121 N FIG ST
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City | ESCONDIDO
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State | CA
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Zip | 92025-3414
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Country | US
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Telephone | 760-739-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W VALLEY PKWY STE 201
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City | ESCONDIDO
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State | CA
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Zip | 92025-2557
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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