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Provider Demographic Information - TRI COUNTY PROVIDER

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	TRI COUNTY PROVIDER
Address:	100 SENATE HARRISBURG, PA 17120-0030
Phone:	(555) 555-5555
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Regional/Field Office	Counties Served:	Berks
Name:	TRI COUNTY - BERKS
Address:	308 PRESQUE ISLE BLVD READING, PA 19606-2323
Phone:	(555) 555-5555

Type:	Regional/Field Office			Counties Served:	Erie
Name:	TRI COUNTY PROVIDER - ERIE
Address:	100 RASPBERRY STREET ERIE, PA 18110
Phone:	(555) 555-5555

Type:	Regional/Field Office	Counties Served:	Dauphin
Name:	TRI COUNTY PROVIDER - DAUPHIN
Address:	100 SENATE HARRISBURG, PA 17120-0030
Phone:	(555) 555-5555

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PROVIDER SERVICES AND RATES Supporting line for group header

No services are currently available for this provider.

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