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General NPI Number Information
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NPI Number | 1124932975
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Entity Type | Organization
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Legal Business Name | VIOLET HEALTH PC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2256 ORCHARD LAKE RD
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City | SYLVAN LAKE
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State | MI
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Zip | 48320-1750
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Country | US
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Telephone | 248-416-1499
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Fax | 248-971-1201
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Provider Business Mailing Address
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Address Line | 2256 ORCHARD LAKE RD
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City | SYLVAN LAKE
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State | MI
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Zip | 48320-1750
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Country | US
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Telephone | 248-416-1499
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Fax | 248-971-1201
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JALAL J THWAINEY
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Credential | MD
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Telephone | 313-383-8310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State | NULL
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