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General NPI Number Information
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NPI Number | 1902786213
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Entity Type | Individual
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Provider Name | OMAR FARAJ
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Gender | Male
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 2185 CITRACADO PKWY
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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 | 442-281-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 26604 EVERGREEN AVE
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City | MURRIETA
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State | CA
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Zip | 92563-4045
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Country | US
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Telephone | 760-855-6740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | 53730
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License Number State | CA
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