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General NPI Number Information
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NPI Number | 1083578199
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Entity Type | Individual
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Provider Name | TREVOR BURROLA DPT
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Gender | Male
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 2222 E HIGHLAND AVE STE 310
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City | PHOENIX
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State | AZ
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Zip | 85016-4879
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Country | US
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Telephone | 602-512-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 3935 E ROUGH RIDER RD UNIT 1101
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City | PHOENIX
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State | AZ
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Zip | 85050-7353
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-034514
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License Number State | AZ
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