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General NPI Number Information
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NPI Number | 1417494741
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Entity Type | Organization
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Legal Business Name | BLACK CAR EXPRESS.COM CORP
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 8 MAPLE ST STE 4
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-2962
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Country | US
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Telephone | 516-472-0811
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Fax | 516-472-0812
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Provider Business Mailing Address
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Address Line | 8 MAPLE ST SUITE 4
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-2960
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Country | US
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Telephone | 516-472-0811
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Fax | 516-472-0812
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAN CARLOS ZABALA
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Credential |
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Telephone | 516-472-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | B03022
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License Number State | NY
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