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General NPI Number Information
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NPI Number | 1538055470
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Entity Type | Organization
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Legal Business Name | VIVA PPECC II LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 5701 STATE HIGHWAY 121 STE 190
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City | THE COLONY
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State | TX
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Zip | 75056-3855
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Country | US
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Telephone | 469-341-7772
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Fax |
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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 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 |
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