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General NPI Number Information
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NPI Number | 1821955600
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Entity Type | Organization
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Legal Business Name | VACAVILLE SENIOR ASSISTED LIVING
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2061 PEABODY RD
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City | VACAVILLE
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State | CA
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Zip | 95687-6291
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Country | US
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Telephone | 707-452-3381
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Fax | 707-455-0330
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Provider Business Mailing Address
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Address Line | 4221 WILSHIRE BLVD STE 392
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City | LOS ANGELES
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State | CA
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Zip | 90010-3537
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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 | STEVEN ATLAS
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Credential |
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Telephone | 707-452-3381
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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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