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1962355297 NPI number — CARLYLE QUINN BROOKE CPFS, AAT

NPI Number: 1962355297
Health Care Provider/Practitioner: CARLYLE QUINN BROOKE CPFS, AAT

Information about “1962355297” NPI (CARLYLE QUINN BROOKE CPFS, AAT) exists in 1962355297 in HTML format HTML  |  1962355297 in plain Text format TXT  |  1962355297 in PDF (Portable Document Format) PDF  |  1962355297 in an XML format XML  formats.

NPI Number : 1962355297 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962355297",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROOKE",
    "FirstName": "CARLYLE",
    "MiddleName": "QUINN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CPFS, AAT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROOKE",
    "OtherFirstName": "CARLY",
    "OtherMiddleName": "QUINN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CPFS, AAT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3340 MITCHELL LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOULDER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80301-2273",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-499-5777",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3340 MITCHELL LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOULDER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80301-2273",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-499-5777",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2026",
    "LastUpdateDate": "02/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "X",
    "Gender": null,
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "175T00000X",
        "TaxonomyName": "Peer Specialist",
        "LicenseNumber": "CPFS-2441",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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