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General NPI Number Information
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NPI Number | 1043970262
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Entity Type | Organization
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Legal Business Name | SMILE PSYCHIATRY AND BEHAVIORAL
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 138 E 12300 S UNIT 328
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City | DRAPER
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State | UT
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Zip | 84020-7976
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Country | US
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Telephone | 801-406-6256
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Fax | 859-545-4978
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Provider Business Mailing Address
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Address Line | 138 E 12300 S UNIT 328
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City | DRAPER
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State | UT
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Zip | 84020-7976
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Country | US
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Telephone | 801-406-6256
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Fax | 859-545-4978
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN BERRETT
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Credential | MD
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Telephone | 801-406-6256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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