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General NPI Number Information
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NPI Number | 1063687697
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Entity Type | Organization
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Legal Business Name | PEOPLE SOLUTIONS, LLC
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 880 S MAIN ST
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City | LEBANON
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State | OR
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Zip | 97355-3210
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Country | US
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Telephone | 541-258-8210
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Fax | 541-258-8212
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Provider Business Mailing Address
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Address Line | PO BOX 280
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City | LEBANON
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State | OR
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Zip | 97355-0280
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Country | US
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Telephone | 541-258-8210
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Fax | 541-258-8212
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. THOMAS WESLEY AYALA
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Credential | PROF. COUNSELOR
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Telephone | 541-258-8210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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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 | C1962
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License Number State | OR
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