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General NPI Number Information
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NPI Number | 1508215997
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Entity Type | Individual
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Provider Name | SHANNA LEE BELLAMY ARNP-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 605 S COOLIDGE ST
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City | MOSES LAKE
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State | WA
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Zip | 98837-1873
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Country | US
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Telephone | 509-765-0674
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Fax |
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Provider Business Mailing Address
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Address Line | 10333 KUYKENDAHL RD STE D
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City | THE WOODLANDS
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State | TX
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Zip | 77382-2878
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Country | US
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Telephone | 713-897-7244
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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 | 10045989
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License Number State | OR
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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 | AP130857
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12289
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License Number State | CT
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