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NPI Code Detail

MEDICARE: DORA CISCO

MEDICARE: DORA CISCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1871448159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORA CISCO
Provider Business Mailing Address
First Line : PO BOX 127
Second Line :
City : VARNEY
State : WV
Zip : 25696-0127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2110 KANAWHA BLVD E STE 101
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-2217
Country : US
Telephone Number : 681-235-0036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ DORA CISCO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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