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General NPI Number Information
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NPI Number | 1851166342
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Entity Type | Organization
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Legal Business Name | VIOLET HEALTH CORP
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 10520 NW 26TH ST STE C101
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City | DORAL
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State | FL
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Zip | 33172-5941
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Country | US
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Telephone | 786-712-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 NW 25TH ST STE 210
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City | DORAL
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State | FL
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Zip | 33122-1714
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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 | PRESIDENT
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Name | GLEIDYS JIMENEZ
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Credential |
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Telephone | 786-712-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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