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General NPI Number Information
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NPI Number | 1427786417
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Entity Type | Individual
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Provider Name | VANESSA YVETTE SHAUGHNESSEY DNP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1415 N HOUK RD STE A
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1043
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Country | US
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Telephone | 509-924-1990
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Fax | 509-232-3059
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Provider Business Mailing Address
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Address Line | PO BOX 5299 MS: 820-5-PCO
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City | TACOMA
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State | WA
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Zip | 98415-0299
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61342595
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61342595
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License Number State | WA
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