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General NPI Number Information
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NPI Number | 1568328847
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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 | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 13782 PLANTATION RD STE 103
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City | FORT MYERS
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State | FL
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Zip | 33912-4462
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Country | US
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Telephone | 239-204-5602
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Fax | 239-309-0645
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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 | 770-312-5226
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT 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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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