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General NPI Number Information
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NPI Number | 1215425970
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Entity Type | Individual
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Provider Name | SAMANTHA ANN KOCHENASH LPC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2018
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 520 DR MARTIN LUTHER KING JR BLVD
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City | NEWARK
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State | NJ
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Zip | 07102-1314
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Country | US
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Telephone | 201-214-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 520 MLK JR BLVD
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City | NEWARK
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State | NJ
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Zip | 07102-1314
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Country | US
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Telephone | 201-214-9363
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00713700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00723800
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License Number State | NJ
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