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General NPI Number Information
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NPI Number | 1396638995
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Entity Type | Organization
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Legal Business Name | BLACK ENTERPRISE SERVICES LLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 2240 PALM BEACH LAKES BLVD # 400S
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3410
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Country | US
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Telephone | 561-407-0024
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Fax | 561-407-0024
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Provider Business Mailing Address
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Address Line | 2240 PALM BEACH LAKES BLVD # 400S
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3410
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Country | US
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Telephone | 561-879-0787
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAHEIM STERLING
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Credential |
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Telephone | 561-879-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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