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NPI Code Detail

MEDICARE: ASA LLC

MEDICARE: ASA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1342000000XTransportation Network Company

General Provider Information

NPI Number : 1730043993
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASA LLC
Provider Business Mailing Address
First Line : 170 COMMERCE WAY STE 200
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-3272
Country : US
Telephone Number : 480-417-6128
Fax Number :
Provider Business Practice Location Address
First Line : 170 COMMERCE WAY STE 200
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-3272
Country : US
Telephone Number : 480-417-6128
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : SHAKIR FARAH
Credential :
Telephone Number : 480-417-6128
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ASA LLC ” Practice Location

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