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General NPI Number Information
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NPI Number | 1689284945
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Entity Type | Individual
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Provider Name | MCKENZIE TERFEHR NP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 1235 HIGHWAY 15 S
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City | FAIRMONT
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State | MN
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Zip | 56031-4461
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Country | US
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Telephone | 507-399-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 223 200TH AVE
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City | FAIRMONT
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State | MN
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Zip | 56031-5080
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Country | US
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Telephone | 507-399-1604
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A160167
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7580
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License Number State | MN
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