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General NPI Number Information
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NPI Number | 1730562513
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Entity Type | Individual
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Provider Name | MARK ADAM CHMIELA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 8230 W SAHARA AVE STE 111
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City | LAS VEGAS
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State | NV
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Zip | 89117-8930
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Country | US
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Telephone | 702-789-0518
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Fax | 702-718-5160
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Provider Business Mailing Address
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Address Line | 9750 W SKYE CANYON PARK DR STE 160 PMB 220
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City | LAS VEGAS
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State | NV
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Zip | 89166
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Country | US
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Telephone | 216-333-4157
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 19899
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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