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General NPI Number Information
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NPI Number | 1356238265
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Entity Type | Organization
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Legal Business Name | BLACK EAGLE LIMOUSINE LLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 145 SHORT BRANCH RD
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City | STAFFORD
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State | VA
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Zip | 22556-4642
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Country | US
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Telephone | 202-834-9259
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Fax |
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Provider Business Mailing Address
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Address Line | 145 SHORT BRANCH RD
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City | STAFFORD
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State | VA
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Zip | 22556-4642
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Country | US
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Telephone | 202-834-9259
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | KHALID ZARIF
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Credential |
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Telephone | 202-834-9259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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