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Individual
EDWARD BENTLYEWSKI
Active
Individual
EDWARD BENTLYEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00501000
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F307476-1
NY
363LA2200X
Adult Health Nurse Practitioner
H140070
IA
Other
Enumeration date
08/27/2015
Last updated
10/02/2015
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