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NPI 1831128784

NPI 1831128784 : HEIDI LYNN JOSLIN LCSW : PAHRUMP, NV

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General NPI Number Information
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    NPI Number           |    1831128784
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    Entity Type          |    Individual 
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    Provider Name        |    HEIDI LYNN JOSLIN LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2006
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    Last Update Date     |    03/18/2016
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Provider Practice Location Address
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    Address Line         |    2220 NEVADA WEST BLVD 
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    City                 |    PAHRUMP
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    State                |    NV
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    Zip                  |    89048-5879
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    Country              |    US
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    Telephone            |    775-990-9032
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    Fax                  |    775-537-6347
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Provider Business Mailing Address
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    Address Line         |    1611 W BLOSSER RANCH RD 
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    City                 |    PAHRUMP
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    State                |    NV
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    Zip                  |    89060-2919
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    Country              |    US
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    Telephone            |    775-990-9032
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    Fax                  |    775-537-6347
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    6448-C
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    License Number State |    NV
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