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General NPI Number Information
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NPI Number | 1265307524
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Entity Type | Organization
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Legal Business Name | EMERALD HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 241 W GRAYSVILLE ST
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City | SULLIVAN
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State | IN
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Zip | 47882-1114
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Country | US
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Telephone | 812-241-1955
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Fax |
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Provider Business Mailing Address
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Address Line | 241 W GRAYSVILLE ST
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City | SULLIVAN
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State | IN
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Zip | 47882-1114
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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 | ASHLEE PINKSTON
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Credential | FNP
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Telephone | 812-241-1955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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