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General NPI Number Information
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NPI Number | 1053239574
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Entity Type | Organization
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Legal Business Name | TIOGA COUNTY HOMELESS INITIATIVE
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 2580 CHARLESTON RD
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City | MANSFIELD
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State | PA
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Zip | 16933-8806
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Country | US
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Telephone | 570-724-9001
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Fax | 570-948-2112
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Provider Business Mailing Address
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Address Line | 2580 CHARLESTON RD
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City | MANSFIELD
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State | PA
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Zip | 16933-8806
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Country | US
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Telephone | 570-724-9001
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Fax | 570-948-2112
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ABIGAIL JEAN THORBORG
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Credential |
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Telephone | 570-724-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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