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General NPI Number Information
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NPI Number | 1265586077
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Entity Type | Individual
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Provider Name | BRENDA LEIGH WALDING DPT
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 11/16/2025
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Provider Practice Location Address
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Address Line | 715 DISCOVERY BLVD STE 510
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City | CEDAR PARK
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State | TX
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Zip | 78613-2287
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Country | US
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Telephone | 512-467-1100
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Fax | 512-467-1101
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Provider Business Mailing Address
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Address Line | PO BOX 203968
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City | AUSTIN
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State | TX
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Zip | 78720-3968
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Country | US
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Telephone | 512-467-1100
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Fax | 512-467-1101
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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 | 3102893
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License Number State | TX
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