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General NPI Number Information
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NPI Number | 1366891913
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Entity Type | Organization
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Legal Business Name | BOLTER COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 06/05/2016
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Last Update Date | 06/05/2016
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Provider Practice Location Address
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Address Line | 44 MERRIMON AVE STE 1
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City | ASHEVILLE
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State | NC
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Zip | 28801-2352
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Country | US
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Telephone | 828-279-4985
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Fax |
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Provider Business Mailing Address
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Address Line | 87 FOREST LAKE DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-9000
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Country | US
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Telephone | 828-279-4985
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. HILLARY L BOLTER
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Credential | LCSW, LCAS
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Telephone | 828-279-4985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C006857
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License Number State | NC
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