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General NPI Number Information
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NPI Number | 1710886262
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Entity Type | Organization
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Legal Business Name | SUNFLOWER CLINIC PC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 4322 BUCKINGHAM RD
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City | ROYAL OAK
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State | MI
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Zip | 48073-6220
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Country | US
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Telephone | 561-685-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 4322 BUCKINGHAM RD
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City | ROYAL OAK
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State | MI
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Zip | 48073-6220
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Country | US
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Telephone | 561-685-8150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL MONTVILLE
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Credential | MD
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Telephone | 612-805-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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