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General NPI Number Information
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NPI Number | 1194682005
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Entity Type | Individual
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Provider Name | BRIELLE QUARLES CNM, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 234 E 149TH ST STE 5A
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City | BRONX
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State | NY
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Zip | 10451-5504
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Country | US
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Telephone | 718-579-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 36 STEVENS ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1002
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Country | US
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Telephone | 703-434-1788
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421912
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 002424
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License Number State | NY
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