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General NPI Number Information
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NPI Number | 1356896070
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Entity Type | Organization
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Legal Business Name | MIDLANDS FAMILY URGENT CARE LP
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 312 OLSON DR STE 101
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City | PAPILLION
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State | NE
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Zip | 68046-2981
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Country | US
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Telephone | 402-933-6300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30200
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City | OMAHA
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State | NE
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Zip | 68103-1300
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Country | US
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Telephone | 402-933-6300
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Fax | 402-916-5078
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Authorized Official
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Title or Position | OPERATING PARTNER
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Name | GABRIEL SULLIVAN
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Credential |
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Telephone | 402-681-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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