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General NPI Number Information
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NPI Number | 1659161990
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Entity Type | Individual
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Provider Name | CAGNEY RYAN GLADIN LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 5325 E 82ND ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4510
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Country | US
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Telephone | 812-994-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 2037 LOHR DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46214-3287
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Country | US
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Telephone | 260-442-1587
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Fax | 812-782-2049
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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