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General NPI Number Information
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NPI Number | 1245359470
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Entity Type | Individual
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Provider Name | MR. MARK A CHEMSKI
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ROUTE 119 AND YORK AVE
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City | CONNELLSVILLE
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State | PA
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Zip | 15425
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Country | US
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Telephone | 724-628-8125
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Fax |
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Provider Business Mailing Address
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Address Line | 197 HILL ROAD
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City | HUNKER
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State | PA
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Zip | 15639
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Country | US
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Telephone | 724-755-1074
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP032905L
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License Number State | PA
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