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General NPI Number Information
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NPI Number | 1528145083
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Entity Type | Individual
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Provider Name | JOY HERREID DAWSON PHD LICENSED PSYCHOL
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 130 DAKOTA ST S
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City | WOODSTOCK
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State | MN
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Zip | 56186
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Country | US
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Telephone | 507-777-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 102 ELM ST
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City | LUVERNE
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State | MN
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Zip | 56156-2111
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Country | US
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Telephone | 605-271-2796
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP1138
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License Number State | MN
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