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General NPI Number Information
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NPI Number | 1205913951
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Entity Type | Individual
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Provider Name | WORAWUTE SUPAONGPRAPA MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 911 BYPASS RD BLDG A
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City | PIKEVILLE
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State | KY
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Zip | 41501-1689
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Country | US
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Telephone | 606-430-2208
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Fax | 606-218-7508
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Provider Business Mailing Address
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Address Line | 149 MEADOW VIEW DR
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City | MOUNT STERLING
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State | KY
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Zip | 40353-8402
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Country | US
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Telephone | 859-432-0803
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Fax |
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | EMC0001791
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 37843
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 37843
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 04-45553
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | EMC0001791
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 114809
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License Number State | MT
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Taxonomy #7
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 1674-320
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2022-00633
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License Number State | NC
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