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General NPI Number Information
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NPI Number | 1437145786
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Entity Type | Individual
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Provider Name | ARI DEAN GLECKMAN PHD
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 8805 N MERIDIAN ST STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2643
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Country | US
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Telephone | 317-706-7246
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Fax | 317-706-3417
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Provider Business Mailing Address
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Address Line | 29943 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1299
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Country | US
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Telephone | 317-706-3415
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Fax | 317-706-3417
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20041012
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License Number State | IN
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