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General NPI Number Information
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NPI Number | 1497689491
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Entity Type | Organization
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Legal Business Name | ANTHONY FULCO LCSW PLLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 5725 S VALLEY VIEW BLVD STE 5
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City | LAS VEGAS
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State | NV
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Zip | 89118-3122
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Country | US
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Telephone | 725-229-1175
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 530815
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City | HENDERSON
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State | NV
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Zip | 89053-0815
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY FULCO
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Credential | LCSW
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Telephone | 786-767-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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