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Individual
POH LIM
Active
Individual
POH LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.N.P
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN145369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106182A
—
GA
Enumeration date
01/24/2011
Last updated
01/27/2012
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