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General NPI Number Information
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NPI Number | 1780711333
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Entity Type | Organization
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Legal Business Name | BRUCE S BASHLINE D.O. INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 SPRING GARDEN DRIVE
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City | MIDDLETOWN
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State | PA
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Zip | 17057
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Country | US
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Telephone | 717-985-9091
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Fax | 717-985-9094
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Provider Business Mailing Address
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Address Line | 1100 SPRING GARDEN DRIVE
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City | MIDDLETOWN
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State | PA
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Zip | 17057
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Country | US
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Telephone | 717-985-9091
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Fax | 717-985-9094
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. BRUCE S BASHLINE
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Credential | D.O.
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Telephone | 717-985-9091
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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 | 0S004607L
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License Number State | PA
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