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NPI Code Detail

MEDICARE: MRS. JULIE RANAE GROTEGUTH

MEDICARE: MRS. JULIE RANAE GROTEGUTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist703494IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023191327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE RANAE GROTEGUTH
Provider Business Mailing Address
First Line : 11401 S OLD 41
Second Line :
City : OAKTOWN
State : IN
Zip : 47561-8907
Country : US
Telephone Number : 812-887-9980
Fax Number :
Provider Business Practice Location Address
First Line : 2920 10TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-6602
Country : US
Telephone Number : 812-376-9404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 11/30/2025

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