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General NPI Number Information
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NPI Number | 1891904900
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Entity Type | Organization
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Legal Business Name | ADE, INC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 165 TOPSIDE E
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City | HARDEEVILLE
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State | SC
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Zip | 29927-2943
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Country | US
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Telephone | 703-722-2324
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Fax | 843-707-4660
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Provider Business Mailing Address
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Address Line | 165 TOPSIDE E
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City | HARDEEVILLE
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State | SC
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Zip | 29927-2943
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Country | US
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Telephone | 703-722-2324
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Fax | 843-707-4660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTHA H IRELAND
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Credential | PHD.,RN, CS,
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Telephone | 703-722-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 15000530
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License Number State | VA
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