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General NPI Number Information
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NPI Number | 1407765100
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Entity Type | Organization
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Legal Business Name | VIRTUAL MEDICARE
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 6820 NW 44TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33319-4033
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Country | US
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Telephone | 267-694-8393
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Fax |
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Provider Business Mailing Address
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Address Line | 6820 NW 44TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33319-4033
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Country | US
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Telephone | 267-694-8393
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ABDOUL MALIK TIJANI CISSE SR.
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Credential |
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Telephone | 267-694-8393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State |
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