How To Optimize Keywords Without Overloading Ad Groups?

I've got a phrase match keyword for "tree removal". After running it for a month and adding negatives daily, I've got 48 solid search terms with decent impressions, clicks, etc. In the past I would have put these into SKAGs as exact and phrase and added the negatives to old ad group. Now it's all about consolidation and themes based on intent right? All 48 of these keywords have the same ad and lander. So to optimize the campaign, do I add all 48 keywords to the existing ad group? And this has only been a month. I will get more and more keywords as time rolls on. It seems like I'll be overloading the ad group with keywords this way, but it also feels odd to just do nothing with them since I see them performing well in the search terms report... How are you guys handling this now days?

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