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General NPI Number Information
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NPI Number | 1356855670
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Entity Type | Organization
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Legal Business Name | THE KOHLER GROUP, PLLC
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 13420 REESE BLVD W STE 29
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7925
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Country | US
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Telephone | 252-758-8636
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Fax | 252-758-2227
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Provider Business Mailing Address
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Address Line | 13420 REESE BLVD W STE 29
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7925
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Country | US
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Telephone | 252-758-8636
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Fax | 252-758-2227
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ASHLEY BOSTIC
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Credential |
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Telephone | 252-758-8636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3949
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License Number State | NC
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