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General NPI Number Information
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NPI Number | 1275656266
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Entity Type | Individual
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Provider Name | SHIRLEY ORIBIO STALTARO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2 CHURCH ST
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City | ROCKY HILL
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State | CT
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Zip | 06067-1518
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Country | US
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Telephone | 860-502-4908
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Fax | 860-513-4828
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Provider Business Mailing Address
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Address Line | 2 CHURCH ST
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City | ROCKY HILL
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State | CT
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Zip | 06067-1518
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Country | US
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Telephone | 860-502-4908
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Fax | 860-513-4828
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2883
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License Number State | CT
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