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General NPI Number Information
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NPI Number | 1215955315
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Entity Type | Individual
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Provider Name | RUDOLPH ALOYSIUS CHMELIK AU.D. CCC-A
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 6920 PARKDALE PL STE 210
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-5611
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Country | US
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Telephone | 866-284-8788
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Fax |
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Provider Business Mailing Address
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Address Line | 3560 WATSON RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-3546
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Country | US
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Telephone | 612-306-4164
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Fax |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 7737
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A.01875
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23002674A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2595
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License Number State | MN
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