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General NPI Number Information
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NPI Number | 1851362537
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Entity Type | Individual
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Provider Name | AINSLY OLIVER MANNING PA
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 222 STATE ST
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City | LUDLOW
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State | MA
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Zip | 01056-3437
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Country | US
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Telephone | 413-308-3300
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Fax | 413-308-3601
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Provider Business Mailing Address
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Address Line | 819 WORCESTER ST SUITE 3
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City | SPRINGFIELD
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State | MA
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Zip | 01151-1045
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Country | US
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Telephone | 413-543-6820
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Fax | 413-543-7962
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5601012910
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3040
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA066762
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01771
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1161
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110010875
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0009879
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License Number State | MD
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