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NPI 1912070939

NPI 1912070939 : PATRICK B SESSO OD : SHEBOYGAN, WI

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General NPI Number Information
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    NPI Number           |    1912070939
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK B SESSO OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    09/09/2025
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Provider Practice Location Address
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    Address Line         |    2229 S MEMORIAL PL 
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    City                 |    SHEBOYGAN
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    State                |    WI
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    Zip                  |    53081-3715
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    Country              |    US
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    Telephone            |    920-458-9301
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    Fax                  |    262-923-7633
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Provider Business Mailing Address
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    Address Line         |    16800 W CLEVELAND AVE 
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    City                 |    NEW BERLIN
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    State                |    WI
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    Zip                  |    53151-3533
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    Country              |    US
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    Telephone            |    262-432-2005
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    Fax                  |    262-432-2006
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    3586
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    046-007328
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    License Number State |    IL
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