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General NPI Number Information
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NPI Number | 1245373646
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Entity Type | Organization
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Legal Business Name | MINNESOTA ONCOLOGY HEMATOLOGY, PA
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 310 SMITH AVE N SUITE 460
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City | SAINT PAUL
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State | MN
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Zip | 55102-2393
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Country | US
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Telephone | 651-602-5200
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Fax | 651-228-1299
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Provider Business Mailing Address
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Address Line | 310 SMITH AVE N SUITE 460
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City | SAINT PAUL
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State | MN
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Zip | 55102-2393
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Country | US
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Telephone | 651-602-5200
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Fax | 651-228-1299
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS P FLYNN
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Credential | M.D.
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Telephone | 612-863-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 1076
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License Number State | MN
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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 | 1076
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 1076
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 1076
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1076
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License Number State | MN
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