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General NPI Number Information
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NPI Number | 1942397534
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Entity Type | Organization
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Legal Business Name | MSK GROUP, PC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 2100 EXETER RD STE 200
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City | GERMANTOWN
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State | TN
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Zip | 38138-3966
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Country | US
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Telephone | 901-641-3000
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Fax | 901-373-0804
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Provider Business Mailing Address
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Address Line | 6077 PRIMACY PKWY STE 140
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City | MEMPHIS
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State | TN
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Zip | 38119-5754
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Country | US
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Telephone | 901-259-1673
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Fax | 901-259-7637
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Authorized Official
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Title or Position | CO-CFO
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Name | MR. CHRIS RUSCITTO
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Credential |
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Telephone | 901-641-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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