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General NPI Number Information
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NPI Number | 1548121353
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Entity Type | Organization
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Legal Business Name | CHIMAJA THERAPY LLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1330 SAN PEDRO DR NE STE P
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-6744
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Country | US
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Telephone | 505-699-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 JEFFERSON ST NE STE 150
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4379
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ALEGRA LARK ROYBAL
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Credential | LCSW
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Telephone | 505-699-8686
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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 |
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License Number State |
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