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General NPI Number Information
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NPI Number | 1598123663
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Entity Type | Individual
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Provider Name | PRISCILLA BUTLER FRASER NP
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Gender | Female
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2324 US HIGHWAY 17
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City | RICHMOND HILL
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State | GA
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Zip | 31324-3398
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 112 WEDGEFIELD XING
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City | SAVANNAH
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State | GA
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Zip | 31405-1006
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Country | US
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Telephone | 404-775-6333
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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 | RN231475
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License Number State | GA
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