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General NPI Number Information
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NPI Number | 1629884580
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Entity Type | Organization
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Legal Business Name | MALISZEWSKI PSYCHOLOGY, LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 14409 NELSONS CREEK DR
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City | OMAHA
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State | NE
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Zip | 68116-4119
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Country | US
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Telephone | 402-880-8277
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Fax |
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Provider Business Mailing Address
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Address Line | 14409 NELSONS CREEK DR
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City | OMAHA
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State | NE
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Zip | 68116-4119
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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 | MANAGER/OWNER
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Name | DR. GENEVIEVE MALISZEWSKI
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Credential |
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Telephone | 402-880-8277
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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 |
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License Number State |
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