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1003570912
ANDRIY BASHTA
ABINGTON, PA
NPI
1003570912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP024626)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
ANDRIY BASHTA
1200 OLD YORK RD
ABINGTON, PA 19001-3720
Phone number: 215-481-3145
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Mailing Address
ANDRIY BASHTA
1531 GREGG ST UNIT A
PHILADELPHIA, PA 19115-4283
Phone number: 215-436-7006
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