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Individual
SHANE D STENEHJEM
Active
Individual
SHANE D STENEHJEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2204
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-01097
EVERCARE
MA
01
—
494209
TUFTS HEALTH PLAN
MA
01
—
7429718
AETNA
MA
01
—
AA43714
HARVARD PILGRIM
MA
01
—
Y71124
BC/BS
MA
Enumeration date
12/20/2005
Last updated
07/08/2007
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