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General NPI Number Information
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NPI Number | 1679400428
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Entity Type | Organization
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Legal Business Name | FAIRCARE HOSPICE INC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 333 S JUNIPER ST STE 207
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City | ESCONDIDO
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State | CA
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Zip | 92025-4955
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Country | US
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Telephone | 619-221-5977
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Fax | 619-912-0011
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Provider Business Mailing Address
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Address Line | 333 S JUNIPER ST STE 207
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City | ESCONDIDO
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State | CA
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Zip | 92025-4955
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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 | ANAS TAREK SALLAM
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Credential |
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Telephone | 949-331-4843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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