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NPI 1356296651

NPI 1356296651 : HEALTH FIRST PRIVIA MEDICAL GROUP, LLC : MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1356296651
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH FIRST PRIVIA MEDICAL GROUP, LLC 
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Dates
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    Enumeration Date     |    03/02/2026
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    Last Update Date     |    03/02/2026
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Provider Practice Location Address
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    Address Line         |    930 S HARBOR CITY BLVD STE 101 
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32901-1901
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    Country              |    US
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    Telephone            |    321-345-7579
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    Fax                  |    833-944-2173
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Provider Business Mailing Address
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    Address Line         |    3715 NORTHSIDE PARKWAY, BUILDING 100 STE 550
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30327
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    Country              |    US
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    Telephone            |    800-973-1442
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    Fax                  |    240-696-1353
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Authorized Official
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    Title or Position    |    VP RCM
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    Name                 |     LORA  MORSE 
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    Credential           |    
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    Telephone            |    321-419-7360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    
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    License Number State |    
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