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General NPI Number Information
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NPI Number | 1962203851
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Entity Type | Organization
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Legal Business Name | JENIA MALYSH PLLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 204
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City | SEATTLE
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State | WA
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Zip | 98101-1726
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Country | US
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Telephone | 206-333-8258
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Fax | 206-649-7182
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Provider Business Mailing Address
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Address Line | 509 OLIVE WAY STE 204
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City | SEATTLE
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State | WA
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Zip | 98101-1726
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Country | US
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Telephone | 206-333-8258
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Fax | 206-649-7182
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. JENIA MALYSH
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Credential | DNP, ARNP, PMHNP-BC
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Telephone | 206-333-8258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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