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Individual
PAUL BLACK
Active
Individual
PAUL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
94-12944
KS
208800000X
Urology Physician
Primary
9802
NE
Other
Enumeration date
06/28/2023
Last updated
07/07/2026
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