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General NPI Number Information
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NPI Number | 1962355297
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Entity Type | Individual
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Provider Name | CARLYLE QUINN BROOKE CPFS, AAT
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Gender |
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 3340 MITCHELL LN
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City | BOULDER
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State | CO
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Zip | 80301-2273
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Country | US
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Telephone | 303-499-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 3340 MITCHELL LN
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City | BOULDER
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State | CO
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Zip | 80301-2273
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Country | US
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Telephone | 303-499-5777
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | CPFS-2441
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License Number State | CO
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