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General NPI Number Information
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NPI Number | 1154598019
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Entity Type | Individual
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Provider Name | MARY HO-MONG BACH LOOD MD, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1601 E 4TH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 208-422-1145
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Fax | 208-422-1038
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Provider Business Mailing Address
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Address Line | 1601 E 4TH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 208-422-1145
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Fax | 208-422-1038
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD60151466
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60151466
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License Number State | WA
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