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General NPI Number Information
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NPI Number | 1851242374
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Entity Type | Organization
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Legal Business Name | PALOMAR UCSD HEALTH AUTHORITY
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 15615 POMERADO RD
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City | POWAY
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State | CA
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Zip | 92064-2405
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Country | US
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Telephone | 858-613-4545
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Fax |
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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 | CEO
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Name | DIANE HANSEN
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Credential |
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Telephone | 442-281-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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