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General NPI Number Information
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NPI Number | 1932292547
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Entity Type | Organization
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Legal Business Name | RALPH BHARATI, MD, PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 8911 E ORME SUITE A
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City | WICHITA
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State | KS
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Zip | 67207
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Country | US
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Telephone | 316-686-7884
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Fax | 316-686-0036
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Provider Business Mailing Address
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Address Line | 8911 E ORME SUITE A
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City | WICHITA
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State | KS
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Zip | 67207
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Country | US
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Telephone | 316-686-7884
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Fax | 316-686-0036
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. GARY L JOHNSON
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Credential | CADC, RAODAC
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Telephone | 316-686-7884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1068
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0858
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1161
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 112
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 242
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0421258
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License Number State | KS
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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 | 74633
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License Number State | KS
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Taxonomy #9
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 0421258
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License Number State | KS
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