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General NPI Number Information
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NPI Number | 1396973954
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Entity Type | Organization
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Legal Business Name | DR. J. S. JUSTIN AND ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 1900 WASHINGTON RD SUITE 132
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City | PITTSBURGH
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State | PA
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Zip | 15241-1426
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Country | US
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Telephone | 412-831-5250
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Fax | 412-831-6944
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Provider Business Mailing Address
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Address Line | 1900 WASHINGTON RD SUITE 132
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City | PITTSBURGH
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State | PA
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Zip | 15241-1426
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Country | US
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Telephone | 412-831-5250
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Fax | 412-831-6944
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEL S JUSTIN
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Credential |
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Telephone | 412-831-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OET-008984
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License Number State | PA
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