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General NPI Number Information
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NPI Number | 1932971439
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Entity Type | Organization
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Legal Business Name | ALLEVIATE PAIN SPECIALISTS
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 115 PATTON DR
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City | PONCA CITY
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State | OK
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Zip | 74601-2030
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Country | US
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Telephone | 580-401-3388
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Fax |
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Provider Business Mailing Address
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Address Line | 3206 4TH ST
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City | LONGVIEW
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State | TX
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Zip | 75605-5143
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Country | US
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Telephone | 903-663-4800
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Fax | 903-663-9960
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHAWNA KINCHELOE
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Credential |
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Telephone | 580-401-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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