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General NPI Number Information
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NPI Number | 1912356668
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Entity Type | Individual
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Provider Name | ALYSSA N AYALA PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 63 FRENCH KING HWY
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City | GREENFIELD
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State | MA
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Zip | 01301-1337
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Country | US
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Telephone | 413-512-5111
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Fax | 413-512-5112
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Provider Business Mailing Address
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Address Line | 1 ARCH PL STE 1
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City | GREENFIELD
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State | MA
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Zip | 01301-2457
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Country | US
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Telephone | 413-512-5111
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Fax | 413-512-5112
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA6815
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License Number State | MA
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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 | PA6815
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License Number State | MA
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