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General NPI Number Information
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NPI Number | 1033119987
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Entity Type | Individual
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Provider Name | STANLEY S. CHMIEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 4003 KRESGE WAY STE 227
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-893-3342
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Fax | 502-893-9575
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Provider Business Mailing Address
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Address Line | 4003 KRESGE WAY STE 227
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City | LOUISVILLE
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State | KY
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Zip | 40207
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Country | US
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Telephone | 502-893-3342
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Fax | 502-893-9575
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 21327
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License Number State | KY
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