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General NPI Number Information
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NPI Number | 1548806169
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Entity Type | Individual
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Provider Name | MARIANNE BACH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 25316 74TH AVE S STE 105
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City | KENT
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State | WA
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Zip | 98032-6022
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Country | US
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Telephone | 800-562-8386
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Fax | 800-421-7772
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Provider Business Mailing Address
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Address Line | 5310 NE 3RD ST
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City | RENTON
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State | WA
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Zip | 98059-5188
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH00051456
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License Number State | WA
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