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General NPI Number Information
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NPI Number | 1891617973
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Entity Type | Individual
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Provider Name | JESSICA RICHMOND RN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 150 MERCURY VILLAGE DR STE 115
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City | DURANGO
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State | CO
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Zip | 81301-8955
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Country | US
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Telephone | 970-828-8850
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Fax | 970-247-9126
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Provider Business Mailing Address
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Address Line | 150 MERCURY VILLAGE DR STE 115
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City | DURANGO
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State | CO
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Zip | 81301-8955
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Country | US
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Telephone | 970-828-8843
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Fax | 970-247-9126
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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 | 14-154251-121
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License Number State | KS
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