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General NPI Number Information
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NPI Number | 1033069893
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Entity Type | Organization
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Legal Business Name | MEDICINA SCARLETT LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 8631 W VERNOR HWY STE 1A
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City | DETROIT
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State | MI
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Zip | 48209-3420
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Country | US
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Telephone | 313-889-2000
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Fax | 313-889-3000
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Provider Business Mailing Address
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Address Line | 2932 ELMHURST AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-3099
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Country | US
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Telephone | 313-889-2000
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Fax | 313-889-3000
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Authorized Official
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Title or Position | OWNER
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Name | SCARLETT IDEMA
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Credential | NP
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Telephone | 313-889-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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