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General NPI Number Information
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NPI Number | 1154816908
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Entity Type | Organization
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Legal Business Name | LAUVES PPECC LLC
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 403 ENTERPRISE ST
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City | LONGVIEW
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State | TX
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Zip | 75604-5463
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Country | US
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Telephone | 318-465-5494
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Fax | 318-383-1215
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Provider Business Mailing Address
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Address Line | 275 W CAMPBELL RD STE 400
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City | RICHARDSON
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State | TX
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Zip | 75080-3581
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Country | US
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Telephone | 469-341-7772
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EFREM L COLMENERO
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Credential |
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Telephone | 469-341-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State | TX
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