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General NPI Number Information
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NPI Number | 1134016173
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Entity Type | Organization
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Legal Business Name | LUSTER PSYCHIATRY AND ASSOCIATES, P.C.
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 400 N SAINT PAUL ST STE 710
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City | DALLAS
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State | TX
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Zip | 75201-6843
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Country | US
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Telephone | 945-257-4223
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N SAINT PAUL ST STE 710
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City | DALLAS
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State | TX
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Zip | 75201-6843
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST NP
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Name | JOANA BAAH
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Credential | NP
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Telephone | 945-257-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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