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1033249255 NPI number — BARIKA MARISE BUTLER-QUARLES MD

NPI Number: 1033249255
Health Care Provider/Practitioner: BARIKA MARISE BUTLER-QUARLES MD

Information about “1033249255” NPI (BARIKA MARISE BUTLER-QUARLES MD) exists in 1033249255 in HTML format HTML  |  1033249255 in plain Text format TXT  |  1033249255 in PDF (Portable Document Format) PDF  |  1033249255 in an XML format XML  formats.

NPI Number : 1033249255 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033249255",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUTLER-QUARLES",
    "FirstName": "BARIKA",
    "MiddleName": "MARISE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "18530 MACK AVE # 163",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GROSSE POINTE FARMS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48236-3254",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-855-5745",
    "MailingAddressFaxNumber": "313-355-1567",
    "FirstLinePracticeLocationAddress": "18530 MACK AVE",
    "SecondLinePracticeLocationAddress": "116",
    "PracticeLocationAddressCityName": "GROSSE POINTE",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48236-3254",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-855-5745",
    "PracticeLocationAddressFaxNumber": "313-355-1567",
    "EnumerationDate": "03/06/2007",
    "LastUpdateDate": "08/23/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084P0800X",
          "TaxonomyName": "Psychiatry Physician",
          "LicenseNumber": "4301088119",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084P0804X",
          "TaxonomyName": "Child & Adolescent Psychiatry Physician",
          "LicenseNumber": "4301088119",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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