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General NPI Number Information
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NPI Number | 1134080716
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Entity Type | Organization
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Legal Business Name | MODEL HEALTHCARE INC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 144 ABBIGAIL XING
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City | TOWNSEND
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State | DE
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Zip | 19734
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Country | US
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Telephone | 267-335-5264
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Fax |
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Provider Business Mailing Address
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Address Line | 101 LINDENWOOD DR STE 225
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City | MALVERN
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State | PA
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Zip | 19355-1762
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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 | OWNER
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Name | CHIGOZIE AMAEFUNA
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Credential |
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Telephone | 267-335-5264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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