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General NPI Number Information
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NPI Number | 1700707478
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Entity Type | Organization
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Legal Business Name | MUIR BEACH, LLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 105 POWER DR
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City | VALLEJO
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State | CA
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Zip | 94589-2529
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Country | US
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Telephone | 707-343-9352
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Fax |
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Provider Business Mailing Address
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Address Line | 599 MENLO DR STE 200
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City | ROCKLIN
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State | CA
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Zip | 95765-3725
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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 | MANAGER
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Name | RYAN WILLIAMS
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Credential |
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Telephone | 916-945-1248
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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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