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General NPI Number Information
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NPI Number | 1649134560
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Entity Type | Organization
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Legal Business Name | SUNFLOWER SPEECH & MYO THERAPY, PLLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 10720 SIKES PL STE 120
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City | CHARLOTTE
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State | NC
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Zip | 28277-8142
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Country | US
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Telephone | 704-445-6841
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Fax |
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Provider Business Mailing Address
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Address Line | 7410 EDENBRIDGE LN
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City | CHARLOTTE
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State | NC
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Zip | 28226-3392
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA GOFF
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Credential | SLP
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Telephone | 704-445-6841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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