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General NPI Number Information
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NPI Number | 1306240890
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Entity Type | Individual
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Provider Name | JENNA NOELLE MADEJA DO
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 22610 SE 240TH ST STE 100
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5086
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Country | US
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Telephone | 425-690-3400
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Fax | 425-690-0600
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Provider Business Mailing Address
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Address Line | 3600 LIND AVE SW STE 100
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City | RENTON
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State | WA
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Zip | 98057-4970
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Country | US
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Telephone | 425-228-3440
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 60574049
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License Number State | WA
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