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General NPI Number Information
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NPI Number | 1316839822
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Entity Type | Organization
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Legal Business Name | TRANQUILITY LIVING LLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 118 FAIRFAX CT
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City | VALLEJO
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State | CA
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Zip | 94591-4737
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Country | US
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Telephone | 707-731-1132
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Fax |
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Provider Business Mailing Address
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Address Line | 2041 EAST ST STE 701
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City | CONCORD
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State | CA
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Zip | 94520-2126
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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 | ADMIN ASSISTANT
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Name | ANA TANNER
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Credential |
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Telephone | 801-819-6675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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