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General NPI Number Information
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NPI Number | 1184810830
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Entity Type | Individual
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Provider Name | PENNY ANN WESSON MD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | N34W28453 TAYLORS WOODS RD
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City | PEWAUKEE
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State | WI
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Zip | 53072-3365
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Country | US
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Telephone | 262-691-3430
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Fax |
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Provider Business Mailing Address
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Address Line | N34W28453 TAYLORS WOODS RD
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City | PEWAUKEE
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State | WI
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Zip | 53072-3365
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Country | US
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Telephone | 262-691-3430
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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 | 46894020
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License Number State | WI
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