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General NPI Number Information
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NPI Number | 1811708761
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Entity Type | Individual
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Provider Name | KRAIWIT KRAISIRISOPHON
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Gender | Male
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 12 GREENWAY PLZ STE 1100
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City | HOUSTON
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State | TX
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Zip | 77046-1201
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Country | US
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Telephone | 832-957-9426
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Fax |
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Provider Business Mailing Address
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Address Line | 12 GREENWAY PLZ STE 1100
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City | HOUSTON
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State | TX
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Zip | 77046-1201
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Country | US
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Telephone | 832-957-9426
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10058155
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1295460
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 252454
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 58310
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1083779
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 89175
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 70107483
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11046516
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10058155
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License Number State | OR
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Taxonomy #10
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1083779
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 337993
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License Number State | AZ
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 252455
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License Number State | AK
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Taxonomy #13
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0106331
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License Number State | CO
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