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NPI 1750232690

NPI 1750232690 : PRIVIA MEDICAL GROUP, LLC : NORTH BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1750232690
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRIVIA MEDICAL GROUP, LLC 
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Dates
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    Enumeration Date     |    02/06/2026
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    11200 ROCKVILLE PIKE STE 300 
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    City                 |    NORTH BETHESDA
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    State                |    MD
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    Zip                  |    20852-7101
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    Country              |    US
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    Telephone            |    703-566-6359
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    950 N GLEBE RD STE 700 
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    City                 |    ARLINGTON
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    State                |    VA
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    Zip                  |    22203-4173
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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    |    AVP
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    Name                 |     BRIANNA  PEOPLES 
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    Credential           |    
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    Telephone            |    571-650-2710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    156FX1900X
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    Taxonomy Name        |    Orthoptist
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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        |    163WX0800X
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    Taxonomy Name        |    Orthopedic Registered Nurse
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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        |    111NX0800X
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    Taxonomy Name        |    Orthopedic Chiropractor
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    License Number       |    
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    License Number State |    
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