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General NPI Number Information
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NPI Number | 1831846419
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Entity Type | Organization
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Legal Business Name | SMSS PLLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 757 S STATE ST STE 1
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City | FAIRMONT
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State | MN
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Zip | 56031-4438
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Country | US
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Telephone | 507-399-2099
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Fax | 507-235-2930
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Provider Business Mailing Address
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Address Line | 757 S STATE ST STE 1
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City | FAIRMONT
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State | MN
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Zip | 56031-4416
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Country | US
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Telephone | 507-399-2099
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Fax | 507-235-2930
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Authorized Official
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Title or Position | OWNER
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Name | MCKENZIE TERFEHR
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Credential | CNP
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Telephone | 507-399-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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