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General NPI Number Information
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NPI Number | 1477060481
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Entity Type | Individual
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Provider Name | KATHLEEN FRATTINO
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Gender | Female
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 11700 MERCY BLVD
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City | SAVANNAH
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State | GA
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Zip | 31419-1753
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Country | US
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Telephone | 800-678-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 323 E 49TH ST
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City | SAVANNAH
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State | GA
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Zip | 31405-2233
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Country | US
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Telephone | 561-685-6415
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN245087
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License Number State | GA
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