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General NPI Number Information
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NPI Number | 1669328209
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Entity Type | Organization
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Legal Business Name | ADA SNF OPERATIONS, LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 931 N COUNTRY CLUB RD
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City | ADA
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State | OK
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Zip | 74820-2845
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Country | US
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Telephone | 580-332-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 10913 S RIVER FRONT PKWY STE 290
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-3507
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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 | BRIAN RAMOS
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Credential |
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Telephone | 580-332-3631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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