{
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"OrgName": "ST LOUIS PAIN CONSULTANTS LLC",
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"FirstLineMailingAddress": "7750 MARYLAND AVE UNIT 16829",
"SecondLineMailingAddress": "P.O. BOX 16829",
"MailingAddressCityName": "SAINT LOUIS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63105-5556",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-205-6149",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "121 SAINT LUKES CENTER DR",
"SecondLinePracticeLocationAddress": "403",
"PracticeLocationAddressCityName": "CHESTERFIELD",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63017-3509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-205-6149",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/18/2012",
"LastUpdateDate": "08/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHRISTOPHER",
"AuthorizedOfficialFirstName": "ANNE",
"AuthorizedOfficialMiddleName": "THERESE",
"AuthorizedOfficialTitle": "SOLE PROPRIETOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "IV",
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "314-205-6149",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2081P2900X",
"TaxonomyName": "Pain Medicine (Physical Medicine & Rehabilitation) Physician",
"LicenseNumber": "2006026937",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}