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NPI 1740731074

NPI 1740731074 : ALLIANCE SPINE AND PAIN MANAGEMENT, PLLC : BOERNE, TX

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General NPI Number Information
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    NPI Number           |    1740731074
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIANCE SPINE AND PAIN MANAGEMENT, PLLC 
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Dates
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    Enumeration Date     |    10/21/2016
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    1002 E BLANCO RD STE B 
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    City                 |    BOERNE
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    State                |    TX
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    Zip                  |    78006-1802
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    Country              |    US
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    Telephone            |    210-944-0972
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    Fax                  |    210-944-0919
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Provider Business Mailing Address
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    Address Line         |    PO BOX 47894 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78265-8894
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    Country              |    US
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    Telephone            |    210-944-0972
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    Fax                  |    210-944-0919
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |    DR. RAJESH KUMAR SHARMA 
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    Credential           |    MD
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    Telephone            |    210-944-0972
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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       |    Q3290
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    License Number State |    TX
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Taxonomy #2
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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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