{
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"FirstLineMailingAddress": "505 NEW RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTHFIELD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08225-1609",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-892-3758",
"MailingAddressFaxNumber": "609-840-6213",
"FirstLinePracticeLocationAddress": "507 ROUTE US 9 S",
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"PracticeLocationAddressCityName": "MARMORA",
"PracticeLocationAddressStateName": "NJ",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-840-6034",
"PracticeLocationAddressFaxNumber": "609-840-6213",
"EnumerationDate": "03/19/2007",
"LastUpdateDate": "09/30/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KNOCKE",
"AuthorizedOfficialFirstName": "SAMANTHA",
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"AuthorizedOfficialTitle": "OWNER",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "609-780-6225",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}