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General NPI Number Information
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NPI Number | 1518816768
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Entity Type | Organization
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Legal Business Name | SIMPLY SMILES DENTAL HARLEM PC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 32 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-5385
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Country | US
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Telephone | 646-410-2376
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Fax |
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Provider Business Mailing Address
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Address Line | 32 W 125TH ST
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City | NEW YORK
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State | NY
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Zip | 10027-5385
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Country | US
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Telephone | 646-410-2376
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAREEM FATOUH
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Credential | DDS
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Telephone | 914-924-2286
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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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