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General NPI Number Information
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NPI Number | 1386813533
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Entity Type | Organization
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Legal Business Name | ROBERT C. GANO, D.D.S., P.C.
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 5462 GULL RD SUITE 7
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City | KALAMAZOO
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State | MI
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Zip | 49048-7655
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Country | US
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Telephone | 269-373-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 5462 GULL RD SUITE 7
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City | KALAMAZOO
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State | MI
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Zip | 49048-7655
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Country | US
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Telephone | 269-373-1999
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ROBERT C GANO
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Credential | DDS
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Telephone | 269-373-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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