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General NPI Number Information
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NPI Number | 1326269614
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Entity Type | Individual
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Provider Name | JOYCE LYNNE JUSTER M.A., LP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 5200 WILLSON RD SUITE 405
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City | EDINA
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State | MN
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Zip | 55424-1332
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Country | US
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Telephone | 952-922-4643
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Fax | 952-920-2377
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Provider Business Mailing Address
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Address Line | 5100 EDEN AVE STE 121
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City | EDINA
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State | MN
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Zip | 55436-2372
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Country | US
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Telephone | 952-261-9558
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Fax | 952-920-2377
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP 0178
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License Number State | MN
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