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Individual

MIGUEL BLACK

Active
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Individual

MIGUEL BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B50095470001842
NJ
172A00000X
Driver
—
—
342000000X
Transportation Network Company
B50095470001842
NJ
343900000X
Non-emergency Medical Transport (VAN)
B50095470001842
NJ
347C00000X
Private Vehicle
B50095470001842
NJ
347E00000X
Transportation Broker
B50095470001842
NJ

Other

Enumeration date
10/22/2021
Last updated
10/22/2021
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