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General NPI Number Information
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NPI Number | 1538046073
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Entity Type | Individual
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Provider Name | JOSLYNNE ROBERTS ED.S, NCSP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1901 N ST
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City | HEYBURN
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State | ID
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Zip | 83336-8659
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Country | US
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Telephone | 706-405-9774
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 N ST
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City | HEYBURN
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State | ID
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Zip | 83336-8659
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Country | US
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Telephone | 706-405-9774
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 82598
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 663329576
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 20230009501
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License Number State | NE
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