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General NPI Number Information
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NPI Number | 1184417354
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Entity Type | Individual
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Provider Name | KAITLYN ELIZABETH TOBE PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 2401 W UNIVERSITY AVE
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City | MUNCIE
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State | IN
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Zip | 47303-3428
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Country | US
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Telephone | 765-751-1720
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Fax |
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Provider Business Mailing Address
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Address Line | 8707 PEMBERTON CIR APT A
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1699
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Country | US
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Telephone | 260-251-5538
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10004935A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | IN
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