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General NPI Number Information
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NPI Number | 1124996285
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Entity Type | Organization
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Legal Business Name | SABRA MIDWEST OPERATIONS X, LLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 800 GRAYSON LN
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City | BEAVERCREEK
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State | OH
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Zip | 45430-1783
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Country | US
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Telephone | 260-452-4896
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Fax |
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Provider Business Mailing Address
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Address Line | 1781 FLIGHT WAY
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City | TUSTIN
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State | CA
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Zip | 92782-1838
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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 | DIR OF BUS OFFICE
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Name | KRIS PETERS
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Credential |
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Telephone | 260-452-4896
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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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