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Individual
MARLON LIM
Active
Individual
MARLON LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078UW
BCBS
—
01
—
2504211
MEDICARE - CPTA
NC
01
—
2504211A
MEDICARE - WOSNC
NC
05
—
7212481
—
NC
Enumeration date
05/02/2007
Last updated
04/16/2009
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