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it sounds like the front tires need balancing.if you drive the truck slowly(creeping down the road at about 5mph)and lightly holding the steering wheel do you feel the steering wheel moving back and forth.this could indicate a bad belt in a tire where as a wheel imbalance won`t show up at this low of a speed,but a bad belt will.also have the front end checked for worn front end components and wheel bearings,this can cause a bad shake too.
There are multiple reasons the front end could be shaking.
1. Tires are out of balance or one has become separated causing a knot.
2. One of the front bearings is going out.
3. One of the 2 front cv drive shafts are wearing out or bent.
4. Inner and Outer Tie rod ends needing replaced
Above are the 4 main causes of vibration in the front end being able to be felt in the steering wheel. i would first take the vehicle to the tire shop and have them check the balance on all 4 wheels. Also, while they have the wheels off, ask them nicely if they could check out the front end for you.