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General NPI Number Information
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NPI Number | 1760972178
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Entity Type | Individual
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Provider Name | BRET O DORSETT MSC, CMHC
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Gender | Male
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3293 HARRISON BLVD STE 200
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City | OGDEN
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State | UT
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Zip | 84403-5504
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Country | US
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Telephone | 801-380-7322
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Fax | 801-452-6743
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Provider Business Mailing Address
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Address Line | PO BOX 396
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City | SPRINGBORO
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State | OH
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Zip | 45066-0396
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Country | US
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Telephone | 801-391-1689
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 122885986004
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 122885986004
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 122885986004
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License Number State | UT
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