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General NPI Number Information
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NPI Number | 1245199157
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Entity Type | Organization
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Legal Business Name | PRIVYHEALTH LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 7918 JONES BRANCH DR FL 4
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City | MC LEAN
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State | VA
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Zip | 22102-3319
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Country | US
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Telephone | 703-424-9024
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Fax | 703-214-2955
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Provider Business Mailing Address
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Address Line | 2800 EISENHOWER AVE STE 220-B23
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5204
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Country | US
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Telephone | 703-424-9024
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Fax | 703-214-2955
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Authorized Official
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Title or Position | OWNER
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Name | ELDESIA GRANGER
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Credential | MD
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Telephone | 703-424-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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