{
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"FirstLineMailingAddress": "421 S 9TH ST",
"SecondLineMailingAddress": "SUITE 205",
"MailingAddressCityName": "LINCOLN",
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"MailingAddressPostalCode": "68508-2261",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-601-4289",
"MailingAddressFaxNumber": "402-475-7541",
"FirstLinePracticeLocationAddress": "421 S 9TH ST",
"SecondLinePracticeLocationAddress": "SUITE 205",
"PracticeLocationAddressCityName": "LINCOLN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-601-4289",
"PracticeLocationAddressFaxNumber": "402-475-7541",
"EnumerationDate": "12/07/2015",
"LastUpdateDate": "04/15/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GILFILLAN",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": "SATC024",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}