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General NPI Number Information
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NPI Number | 1154201234
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Entity Type | Organization
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Legal Business Name | SOUTHERN TIER COMMUNITY CARE
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 6652 S CENTER RD
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City | FRANKLINVILLE
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State | NY
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Zip | 14737-9512
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Country | US
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Telephone | 716-307-1151
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Fax | 716-706-1327
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Provider Business Mailing Address
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Address Line | 6652 S CENTER RD
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City | FRANKLINVILLE
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State | NY
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Zip | 14737-9512
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Country | US
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Telephone | 716-307-1151
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Fax | 716-706-1327
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. JODI L KOTTWITZ
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Credential | DNP, FNP-C
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Telephone | 716-307-1151
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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 |
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License Number State |
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