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General NPI Number Information
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NPI Number | 1760150239
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Entity Type | Individual
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Provider Name | JESTINE BRASWELL BAXTER RUSING DNP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1000 SOUTHPARK DR
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City | LITTLETON
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State | CO
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Zip | 80120-5654
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Country | US
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Telephone | 303-744-1065
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 SOUTHPARK DR
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City | LITTLETON
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State | CO
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Zip | 80120-5654
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Country | US
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Telephone | 303-744-1065
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Fax | 303-733-1699
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 248519
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.1000631-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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