{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MUC-PAPILLION",
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"OtherLastName": null,
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"FirstLineMailingAddress": "PO BOX 815",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BOYS TOWN",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68010-0815",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-933-6300",
"MailingAddressFaxNumber": "833-428-8778",
"FirstLinePracticeLocationAddress": "312 OLSON DR STE 101",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PAPILLION",
"PracticeLocationAddressStateName": "NE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-933-6300",
"PracticeLocationAddressFaxNumber": "888-428-8778",
"EnumerationDate": "01/15/2026",
"LastUpdateDate": "01/15/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MERTZ",
"AuthorizedOfficialFirstName": "MICHELLE",
"AuthorizedOfficialMiddleName": "RENAE",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "402-926-9637",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}