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General NPI Number Information
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NPI Number | 1821944497
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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 | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 2311 ARCOLA AVE
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City | SILVER SPRING
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State | MD
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Zip | 20902-2826
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Country | US
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Telephone | 301-933-6644
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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, CRED & ENROLLMENT
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Name | BRIANNA FOULKROD
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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 | 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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