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General NPI Number Information
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NPI Number | 1821916552
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Entity Type | Organization
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Legal Business Name | LAKEVIEW SNF OPERATIONS LLC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 607 WOODLAND AVE
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City | EUFAULA
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State | OK
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Zip | 74432-3611
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Country | US
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Telephone | 918-618-9588
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Fax | 405-252-5632
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Provider Business Mailing Address
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Address Line | 607 WOODLAND AVE
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City | EUFAULA
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State | OK
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Zip | 74432-3611
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Country | US
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Telephone | 918-618-9588
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Fax | 405-252-5632
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Authorized Official
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Title or Position | MANAGER
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Name | ETHAN DREIFUS
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Credential |
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Telephone | 917-207-2234
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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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