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General NPI Number Information
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NPI Number | 1164246898
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Entity Type | Organization
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Legal Business Name | BEADLES OPERATIONS, LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 730 SHARE DR
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City | ALVA
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State | OK
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Zip | 73717-3616
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Country | US
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Telephone | 580-609-3413
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Fax | 580-609-3416
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Provider Business Mailing Address
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Address Line | 730 SHARE DR
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City | ALVA
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State | OK
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Zip | 73717-3616
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Country | US
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Telephone | 580-609-3413
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Fax | 580-609-3416
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADAM JORDAN
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Credential | DPH, LNHA
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Telephone | 580-430-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care 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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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