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General NPI Number Information
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NPI Number | 1487330676
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Entity Type | Individual
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Provider Name | JOSHUA ALLAN MAGOLD I PSY.D
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Gender | Male
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 4545 S 86TH ST # NE68526
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City | LINCOLN
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State | NE
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Zip | 68526-9262
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Country | US
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Telephone | 402-483-6990
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 S 86TH ST
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City | LINCOLN
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State | NE
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Zip | 68526-9262
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Country | US
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Telephone | 402-483-6990
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 804
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License Number State | NE
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