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NPI 1023171717

NPI 1023171717 : TODD E GIANARELLI M.D. : SHELBY, MT

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General NPI Number Information
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    NPI Number           |    1023171717
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    Entity Type          |    Individual 
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    Provider Name        |    TODD E GIANARELLI M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/18/2006
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    1950 W ROOSEVELT HWY MARIAS HEALTHCARE SERVICES INC
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    City                 |    SHELBY
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    State                |    MT
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    Zip                  |    59474-1663
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    Country              |    US
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    Telephone            |    406-434-3100
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    Fax                  |    406-434-3143
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Provider Business Mailing Address
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    Address Line         |    317 5TH AVE SW 
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    City                 |    CONRAD
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    State                |    MT
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    Zip                  |    59425-2506
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    Country              |    US
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    Telephone            |    406-278-3596
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    Fax                  |    
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    8416
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    License Number State |    MT
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