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General NPI Number Information
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NPI Number | 1073661336
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Entity Type | Organization
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Legal Business Name | HBJ THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3105 PUEBLO HAWIKUH
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City | SANTA FE
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State | NM
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Zip | 87507-2514
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Country | US
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Telephone | 505-690-7207
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Fax |
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Provider Business Mailing Address
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Address Line | 3105 PUEBLO HAWIKUH
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City | SANTA FE
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State | NM
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Zip | 87507-2514
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Country | US
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Telephone | 505-690-7207
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Fax |
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Authorized Official
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Title or Position | OWNER-BUSINESS MANAGER
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Name | SHANNON L. ENTERMAN
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Credential |
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Telephone | 505-690-7207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | T0074771
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0092121
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 631
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 443
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3262
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 1721
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License Number State | NM
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