{
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"FirstLineMailingAddress": "11135 MANCHESTER RD",
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"MailingAddressStateName": "MO",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-822-4400",
"MailingAddressFaxNumber": "314-822-4111",
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"PracticeLocationAddressFaxNumber": "314-822-4111",
"EnumerationDate": "12/14/2006",
"LastUpdateDate": "07/27/2010",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAMMIEN",
"AuthorizedOfficialFirstName": "ANN",
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"AuthorizedOfficialCredential": "PT",
"AuthorizedOfficialTelephoneNumber": "314-822-4400",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332BC3200X",
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"PrimaryTaxonomySwitch": "N"
},
{
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},
{
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"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
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}
]
}
}
}