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NPI 1215034525

NPI 1215034525 : SUE C. TOBIN DO : DANVILLE, IN

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General NPI Number Information
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    NPI Number           |    1215034525
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    Entity Type          |    Individual 
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    Provider Name        |    SUE C. TOBIN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    100 HOSPITAL LN STE 300 
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    City                 |    DANVILLE
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    State                |    IN
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    Zip                  |    46122-2000
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    Country              |    US
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    Telephone            |    317-520-5510
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    Fax                  |    317-386-5539
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Provider Business Mailing Address
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    Address Line         |    1100 SOUTHFIELD DR STE 1370 
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    City                 |    PLAINFIELD
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    State                |    IN
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    Zip                  |    46168-4300
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    Country              |    US
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    Telephone            |    317-837-5566
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    Fax                  |    317-837-5567
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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        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    0049170
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    02004537A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    5101013923
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    License Number State |    MI
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Taxonomy #4
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    DR-49170
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    License Number State |    CO
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