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General NPI Number Information
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NPI Number | 1154271708
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Entity Type | Organization
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Legal Business Name | DANIEL R GANO PLLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 26425 NORTH LAKE PLEASANT PARKWAY,
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City | PEORIA
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State | AZ
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Zip | 85383
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Country | US
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Telephone | 901-605-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 5302 W HACKAMORE DR
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City | PHOENIX
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State | AZ
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Zip | 85083-4419
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Country | US
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Telephone | 901-605-0411
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Fax |
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Authorized Official
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Title or Position | ENDODONTIST
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Name | DANIEL R GANO
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Credential | DDS
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Telephone | 901-605-0411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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