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NPI Code Detail

MEDICARE: MSK SOLUTIONS

MEDICARE: MSK SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2253J00000XFoster Care Agency

General Provider Information

NPI Number : 1265023915
Entity Type Code : Organization
Provider Name (Legal Business Name) : MSK SOLUTIONS
Provider Business Mailing Address
First Line : 3871 QUARRYVILLE CT
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6651
Country : US
Telephone Number : 510-681-7988
Fax Number : 510-323-8066
Provider Business Practice Location Address
First Line : 1116 LEGEND CIR
Second Line :
City : VALLEJO
State : CA
Zip : 94591-8679
Country : US
Telephone Number : 707-647-3972
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. TEGRE MILES
Credential :
Telephone Number : 510-681-7988
Provider Enumeration Date : 01/26/2021
Last Update Date : 01/26/2021

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Directions to “MSK SOLUTIONS ” Practice Location

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