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General NPI Number Information
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NPI Number | 1215751201
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Entity Type | Organization
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Legal Business Name | VERSA FORCE LLC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 10637 NE COXLEY DR
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City | VANCOUVER
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State | WA
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Zip | 98662-6119
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Country | US
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Telephone | 971-381-7606
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Fax |
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Provider Business Mailing Address
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Address Line | 19100 61ST AVE NE APT C
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City | KENMORE
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State | WA
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Zip | 98028-3263
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Country | US
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Telephone | 971-381-7606
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STUART NKUBA
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Credential |
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Telephone | 971-381-7606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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