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General NPI Number Information
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NPI Number | 1922144484
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Entity Type | Organization
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Legal Business Name | INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 17300 N OUTER 40 100
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1364
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Country | US
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Telephone | 636-728-1977
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Fax | 636-778-1488
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Provider Business Mailing Address
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Address Line | 17300 N OUTER 40 RD STE 100
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1364
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Country | US
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Telephone | 636-728-1977
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Fax | 636-778-1488
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERICA WEHRMEISTER
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Credential |
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Telephone | 260-760-9420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | R3N29
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License Number State | MO
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