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General NPI Number Information
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NPI Number | 1184571408
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Entity Type | Individual
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Provider Name | DEVIN LAURITZEN
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Gender | Male
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1150 N MCGILL HWY
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City | ELY
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State | NV
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Zip | 89301-6659
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Country | US
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Telephone | 702-785-1549
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1915
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City | PAROWAN
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State | UT
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Zip | 84761-1915
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Country | US
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Telephone |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 2004100018
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License Number State | UT
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