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General NPI Number Information
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NPI Number | 1902517014
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Entity Type | Organization
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Legal Business Name | JOSLIN THERAPY
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 7230 ARBUCKLE CMNS STE 126
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City | BROWNSBURG
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State | IN
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Zip | 46112-1793
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Country | US
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Telephone | 812-805-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 7230 ARBUCKLE CMNS STE 126
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City | BROWNSBURG
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State | IN
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Zip | 46112-1793
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Country | US
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Telephone | 812-805-0461
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JESSICA JOSLIN
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Credential |
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Telephone | 812-805-0461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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