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General NPI Number Information
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NPI Number | 1962399394
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Entity Type | Organization
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Legal Business Name | SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC.
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 23 KENNEDY ST STE 101
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City | BRADFORD
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State | PA
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Zip | 16701-2065
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Country | US
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Telephone | 716-375-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 135 N UNION ST
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City | OLEAN
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State | NY
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Zip | 14760-2736
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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 | REVENUE CYCLE ANALYST
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Name | SARAH ERWIN
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Credential |
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Telephone | 716-375-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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