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General NPI Number Information
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NPI Number | 1386568988
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Entity Type | Organization
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Legal Business Name | MURRIETA 24325, LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 24325 WASHINGTON AVE
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City | MURRIETA
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State | CA
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Zip | 92562-9702
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Country | US
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Telephone | 951-387-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 BLANKENSHIP RD STE 130
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City | WEST LINN
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State | OR
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Zip | 97068-5104
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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 | ACCOUNTS RECEIVABLE MEDICAID
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Name | ANA TRUJILLO
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Credential |
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Telephone | 503-536-1287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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