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General NPI Number Information
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NPI Number | 1265918569
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Entity Type | Organization
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Legal Business Name | ALAVIE INTERVENTIONAL PAIN MANAGEMENT, PLLC
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 12315 JUDSON RD STE 118
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City | LIVE OAK
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State | TX
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Zip | 78233-3263
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Country | US
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Telephone | 210-644-4446
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Fax | 210-664-4447
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Provider Business Mailing Address
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Address Line | 12315 JUDSON RD STE 118
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City | LIVE OAK
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State | TX
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Zip | 78233-3263
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Country | US
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Telephone | 210-664-4446
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Fax | 210-664-4447
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. CHRISTIAN GENE SAMUELSON
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Credential | MD
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Telephone | 210-664-4446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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