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General NPI Number Information
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NPI Number | 1821907171
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Entity Type | Individual
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Provider Name | NICHOLE BROOKER
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Gender | Female
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 7173 S HAVANA ST STE 600-220
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City | CENTENNIAL
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State | CO
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Zip | 80112-3891
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Country | US
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Telephone | 303-229-3678
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Fax |
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Provider Business Mailing Address
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Address Line | 9331 AUTUMN ASH CT
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-8612
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Country | US
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Telephone | 303-229-3678
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | CHW-466
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | CPFS-2851
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License Number State | CO
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