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NPI 1912967050

NPI 1912967050 : ROBERT L TOBIN MD : CASPER, WY

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General NPI Number Information
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    NPI Number           |    1912967050
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT L TOBIN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/24/2006
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    Last Update Date     |    03/09/2016
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Provider Practice Location Address
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    Address Line         |    6501 EAST 2ND STREET 
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    City                 |    CASPER
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    State                |    WY
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    Zip                  |    82609-4293
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    Country              |    US
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    Telephone            |    307-235-5433
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    Fax                  |    307-233-4700
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Provider Business Mailing Address
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    Address Line         |    6501 EAST 2ND STREET 
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    City                 |    CASPER
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    State                |    WY
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    Zip                  |    82609-4293
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    Country              |    US
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    Telephone            |    307-235-5433
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    Fax                  |    307-233-4700
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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        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    4463A
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    License Number State |    WY
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