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General NPI Number Information
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NPI Number | 1053196147
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Entity Type | Individual
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Provider Name | ANNA PENNING DDS
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 2031 N BROAD ST STE 141&143
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City | LANSDALE
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State | PA
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Zip | 19446-1063
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Country | US
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Telephone | 215-393-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 240 LE PONT CIR
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City | BLUE BELL
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State | PA
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Zip | 19422-1442
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Country | US
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Telephone | 215-407-4492
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DSO44344
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License Number State | PA
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