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General NPI Number Information
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NPI Number | 1508765090
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Entity Type | Individual
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Provider Name | DAVID O JOSLYN PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 3048 E BASELINE RD STE 118
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City | MESA
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State | AZ
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Zip | 85204-7288
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Country | US
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Telephone | 623-260-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 6031 E HALIFAX ST
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City | MESA
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State | AZ
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Zip | 85205-4508
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Country | US
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Telephone | 941-773-9300
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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 | PSY-005158
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License Number State | AZ
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