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General NPI Number Information
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NPI Number | 1992664296
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Entity Type | Individual
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Provider Name | STEPHANEE SHEDD CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2050 PROGRESS WAY
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City | WOODBURN
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State | OR
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Zip | 97071-9764
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Country | US
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Telephone | 503-981-5348
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 PROGRESS WAY
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City | WOODBURN
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State | OR
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Zip | 97071-9764
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Country | US
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Telephone | 503-981-5348
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 10056586
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License Number State | OR
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