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NPI 1669394177

NPI 1669394177 : LAURA BROOKE COVEY EMT : CHINO VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1669394177
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA BROOKE COVEY EMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2026
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    Last Update Date     |    07/27/2026
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Provider Practice Location Address
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    Address Line         |    650 E CENTER ST 
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    City                 |    CHINO VALLEY
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    State                |    AZ
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    Zip                  |    86323-7407
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    Country              |    US
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    Telephone            |    928-583-5421
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2851 ITHACA DR 
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    City                 |    PRESCOTT
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    State                |    AZ
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    Zip                  |    86301-7150
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    Country              |    US
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    Telephone            |    928-458-8891
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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        |    146N00000X
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    Taxonomy Name        |    Basic Emergency Medical Technician
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    License Number       |    E4191298
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    License Number State |    AZ
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