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General NPI Number Information
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NPI Number | 1588654958
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Entity Type | Individual
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Provider Name | LEMUEL CRISTOBAL ZARZUELA D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-231-2191
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Fax | 571-231-6607
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Provider Business Mailing Address
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Address Line | 13950 ENGLEFIELD DR UNIT 205
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City | WOODBRIDGE
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State | VA
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Zip | 22193-2077
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Country | US
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Telephone | 703-501-4511
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0103000985
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License Number State | VA
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